Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $223.87 / $223.87 / $223.87	Facility	AA	$223.87	$223.87	$223.87
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $630.96 / $741.31 / $1,548.82	Facility	QK	$630.96	$741.31	$1,548.82
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $630.96 / $977.24 / $5,623.41	Facility	QX	$630.96	$977.24	$5,623.41
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $954.99 / $977.24 / $1,778.28	Facility	QY	$954.99	$977.24	$1,778.28
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $870.96 / $2,041.74 / $3,311.31	Facility	QZ	$870.96	$2,041.74	$3,311.31
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