Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $446.68 / $724.44 / $891.25	Facility	QK	$446.68	$724.44	$891.25
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $371.54 / $912.01 / $1,412.54	Facility	QX	$371.54	$912.01	$1,412.54
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $851.14 / $1,949.84 / $1,949.84	Facility	QZ	$851.14	$1,949.84	$1,949.84
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