Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $735.15 / $735.15 / $735.15	Facility	QX	$735.15	$735.15	$735.15
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,161.45 / $1,161.45 / $1,703.97	Facility	QZ	$1,161.45	$1,161.45	$1,703.97
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $743.70 / $983.49 / $1,453.50	Professional	AA	$743.70	$983.49	$1,453.50
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $382.70 / $821.40 / $1,392.30	Professional	QZ	$382.70	$821.40	$1,392.30
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $581.79 / $581.79 / $661.13	Professional	AA	$581.79	$581.79	$661.13
United Facility/Professional Professional Modifier QZ Low / Median / High Price $90.00 / $90.00 / $90.00	Professional	QZ	$90.00	$90.00	$90.00