Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $702.75 / $702.75 / $702.75	Facility	AA	$702.75	$702.75	$702.75
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $462.41 / $462.41 / $565.28	Facility	QK	$462.41	$462.41	$565.28
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $573.37 / $573.37 / $725.04	Facility	QX	$573.37	$573.37	$725.04
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $404.55 / $404.55 / $404.55	Facility	QY	$404.55	$404.55	$404.55
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $811.98 / $1,120.00 / $1,400.00	Professional	AA	$811.98	$1,120.00	$1,400.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $500.42 / $500.42 / $694.53	Professional	QZ	$500.42	$500.42	$694.53
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $411.42 / $481.02 / $517.96	Professional	AA	$411.42	$481.02	$517.96