Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $873.00 / $873.00 / $873.00	Facility	AA	$873.00	$873.00	$873.00
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $487.31 / $487.31 / $633.25	Facility	QK	$487.31	$487.31	$633.25
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $594.25 / $594.25 / $594.25	Facility	QX	$594.25	$594.25	$594.25
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $875.25 / $1,138.54 / $1,737.48	Professional	AA	$875.25	$1,138.54	$1,737.48
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $690.56 / $755.00 / $831.62	Professional	QZ	$690.56	$755.00	$831.62
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $411.42 / $481.02 / $517.96	Professional	AA	$411.42	$481.02	$517.96
United Facility/Professional Professional Modifier QZ Low / Median / High Price $95.00 / $95.00 / $95.00	Professional	QZ	$95.00	$95.00	$95.00