Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $5,370.32 / $5,370.32 / $11,748.98	Facility	AA	$5,370.32	$5,370.32	$11,748.98
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $302.00 / $302.00 / $302.00	Facility	QK	$302.00	$302.00	$302.00
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $295.12 / $295.12 / $295.12	Facility	QX	$295.12	$295.12	$295.12
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $660.69 / $1,318.26 / $3,630.78	Professional	AA	$660.69	$1,318.26	$3,630.78
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $154.88 / $977.24 / $1,819.70	Professional	QZ	$154.88	$977.24	$1,819.70
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 $416.87 / $524.81 / $691.83	Professional	AA	$416.87	$524.81	$691.83