Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $251.19 / $524.81 / $524.81	Facility	QX	$251.19	$524.81	$524.81
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $213.80 / $812.83 / $1,258.93	Facility	QZ	$213.80	$812.83	$1,258.93
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