Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $446.68 / $575.44 / $954.99	Facility	QK	$446.68	$575.44	$954.99
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $204.17 / $1,230.27 / $3,019.95	Facility	QX	$204.17	$1,230.27	$3,019.95
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility	QZ	$1,445.44	$1,445.44	$1,445.44
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $812.83 / $1,548.82 / $2,754.23	Professional	AA	$812.83	$1,548.82	$2,754.23
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $616.60 / $1,023.29 / $2,238.72	Professional	QZ	$616.60	$1,023.29	$2,238.72
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
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $489.78 / $616.60 / $812.83	Professional	AA	$489.78	$616.60	$812.83