Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $281.84 / $288.40 / $489.78	Facility	QK	$281.84	$288.40	$489.78
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $426.58 / $776.25 / $794.33	Facility	QX	$426.58	$776.25	$794.33
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $229.09 / $229.09 / $229.09	Facility	QY	$229.09	$229.09	$229.09
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $776.25 / $1,659.59 / $1,659.59	Facility	QZ	$776.25	$1,659.59	$1,659.59
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