Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $870.96 / $870.96 / $870.96	Facility	AA	$870.96	$870.96	$870.96
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $371.54 / $602.56 / $1,148.15	Facility	QK	$371.54	$602.56	$1,148.15
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $354.81 / $676.08 / $1,000.00	Facility	QX	$354.81	$676.08	$1,000.00
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $575.44 / $1,380.38 / $2,344.23	Professional	AA	$575.44	$1,380.38	$2,344.23
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $177.83 / $831.76 / $1,995.26	Professional	QZ	$177.83	$831.76	$1,995.26
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