Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $831.76 / $977.24 / $1,318.26	Facility	AA	$831.76	$977.24	$1,318.26
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $354.81 / $616.60 / $977.24	Facility	QK	$354.81	$616.60	$977.24
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $407.38 / $870.96 / $2,187.76	Facility	QX	$407.38	$870.96	$2,187.76
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $691.83 / $794.33 / $1,000.00	Facility	QY	$691.83	$794.33	$1,000.00
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $416.87 / $794.33 / $2,290.87	Facility	QZ	$416.87	$794.33	$2,290.87
Cigna Facility/Professional Facility Modifier QK Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	QK	$30.90	$30.90	$30.90
Cigna Facility/Professional Facility Modifier QX Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	QX	$30.90	$30.90	$30.90
Cigna Facility/Professional Facility Modifier QY Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	QY	$30.90	$30.90	$30.90