Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $638.97 / $638.97 / $684.80	Facility	AA	$638.97	$638.97	$684.80
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $530.40 / $597.60 / $672.30	Facility	QK	$530.40	$597.60	$672.30
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $535.00 / $666.95 / $777.27	Facility	QX	$535.00	$666.95	$777.27
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $399.13 / $476.32 / $487.70	Facility	QY	$399.13	$476.32	$487.70
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $715.82 / $782.56 / $956.79	Facility	QZ	$715.82	$782.56	$956.79
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $509.00 / $822.99 / $1,380.00	Professional	AA	$509.00	$822.99	$1,380.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $436.80 / $550.62 / $740.60	Professional	QZ	$436.80	$550.62	$740.60
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $342.85 / $400.85 / $431.63	Professional	AA	$342.85	$400.85	$431.63
United Facility/Professional Professional Modifier AA Low / Median / High Price $90.00 / $90.00 / $480.00	Professional	AA	$90.00	$90.00	$480.00
United Facility/Professional Professional Modifier QZ Low / Median / High Price $270.00 / $632.45 / $632.45	Professional	QZ	$270.00	$632.45	$632.45