Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $660.69 / $660.69 / $660.69	Facility	AA	$660.69	$660.69	$660.69
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $208.93 / $489.78 / $1,000.00	Facility	QK	$208.93	$489.78	$1,000.00
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $363.08 / $457.09 / $891.25	Facility	QX	$363.08	$457.09	$891.25
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $398.11 / $478.63 / $489.78	Facility	QY	$398.11	$478.63	$489.78
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $676.08 / $954.99 / $1,288.25	Facility	QZ	$676.08	$954.99	$1,288.25
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $467.74 / $891.25 / $1,584.89	Professional	AA	$467.74	$891.25	$1,584.89
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $346.74 / $630.96 / $1,318.26	Professional	QZ	$346.74	$630.96	$1,318.26
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 $354.81 / $436.52 / $575.44	Professional	AA	$354.81	$436.52	$575.44