Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $707.95 / $707.95 / $707.95	Facility	AA	$707.95	$707.95	$707.95
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $478.63 / $478.63 / $1,122.02	Facility	QK	$478.63	$478.63	$1,122.02
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $338.84 / $588.84 / $1,318.26	Facility	QX	$338.84	$588.84	$1,318.26
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $323.59 / $323.59 / $407.38	Facility	QY	$323.59	$323.59	$407.38
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $229.09 / $1,230.27 / $1,778.28	Professional	AA	$229.09	$1,230.27	$1,778.28
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $194.98 / $776.25 / $1,659.59	Professional	QZ	$194.98	$776.25	$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
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $416.87 / $524.81 / $691.83	Professional	AA	$416.87	$524.81	$691.83