Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $711.32 / $711.32 / $711.32	Facility	AA	$711.32	$711.32	$711.32
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $320.42 / $372.81 / $522.90	Facility	QK	$320.42	$372.81	$522.90
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $295.26 / $468.07 / $608.86	Facility	QX	$295.26	$468.07	$608.86
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $406.85 / $406.85 / $406.85	Facility	QY	$406.85	$406.85	$406.85
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $867.22 / $867.22 / $887.04	Facility	QZ	$867.22	$867.22	$887.04
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $333.30 / $657.71 / $1,120.00	Professional	AA	$333.30	$657.71	$1,120.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $326.04 / $449.04 / $610.10	Professional	QZ	$326.04	$449.04	$610.10
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $274.27 / $320.67 / $345.30	Professional	AA	$274.27	$320.67	$345.30