Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $616.60 / $954.99 / $1,096.48	Facility	AA	$616.60	$954.99	$1,096.48
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $257.04 / $436.52 / $954.99	Facility	QK	$257.04	$436.52	$954.99
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $309.03 / $707.95 / $6,918.31	Facility	QX	$309.03	$707.95	$6,918.31
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $263.03 / $263.03 / $363.08	Facility	QY	$263.03	$263.03	$363.08
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,621.81 / $1,905.46 / $1,905.46	Facility	QZ	$1,621.81	$1,905.46	$1,905.46
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