Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $549.54 / $549.54 / $724.44	Facility	QK	$549.54	$549.54	$724.44
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $588.84 / $794.33 / $831.76	Facility	QX	$588.84	$794.33	$831.76
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $645.65 / $851.14 / $1,778.28	Professional	QZ	$645.65	$851.14	$1,778.28
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