Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Facility	AA	$6,918.31	$6,918.31	$6,918.31
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $295.12 / $323.59 / $645.65	Facility	QK	$295.12	$323.59	$645.65
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $354.81 / $812.83 / $1,548.82	Facility	QX	$354.81	$812.83	$1,548.82
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $295.12 / $446.68 / $851.14	Facility	QY	$295.12	$446.68	$851.14
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $588.84 / $1,445.44 / $2,137.96	Facility	QZ	$588.84	$1,445.44	$2,137.96
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $602.56 / $1,096.48 / $1,819.70	Professional	AA	$602.56	$1,096.48	$1,819.70
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $363.08 / $741.31 / $1,479.11	Professional	QZ	$363.08	$741.31	$1,479.11
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 $416.87 / $524.81 / $691.83	Professional	AA	$416.87	$524.81	$691.83