Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $457.09 / $457.09 / $954.99	Facility	AA	$457.09	$457.09	$954.99
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $275.42 / $398.11 / $812.83	Facility	QK	$275.42	$398.11	$812.83
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $245.47 / $478.63 / $1,905.46	Facility	QX	$245.47	$478.63	$1,905.46
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $194.98 / $194.98 / $416.87	Facility	QY	$194.98	$194.98	$416.87
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $776.25 / $776.25 / $891.25	Facility	QZ	$776.25	$776.25	$891.25
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $371.54 / $812.83 / $1,380.38	Professional	AA	$371.54	$812.83	$1,380.38
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $234.42 / $537.03 / $1,122.02	Professional	QZ	$234.42	$537.03	$1,122.02
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 $281.84 / $354.81 / $467.74	Professional	AA	$281.84	$354.81	$467.74