Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $616.60 / $616.60 / $3,715.35	Facility	AA	$616.60	$616.60	$3,715.35
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $186.21 / $302.00 / $812.83	Facility	QK	$186.21	$302.00	$812.83
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $186.21 / $398.11 / $891.25	Facility	QX	$186.21	$398.11	$891.25
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $316.23 / $316.23 / $1,000.00	Facility	QY	$316.23	$316.23	$1,000.00
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $537.03 / $870.96 / $1,288.25	Facility	QZ	$537.03	$870.96	$1,288.25
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $389.05 / $794.33 / $1,348.96	Professional	AA	$389.05	$794.33	$1,348.96
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 $281.84 / $354.81 / $467.74	Professional	AA	$281.84	$354.81	$467.74