Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility	QK	$1,148.15	$1,148.15	$1,148.15
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility	QX	$1,905.46	$1,905.46	$1,905.46
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $407.38 / $1,412.54 / $1,949.84	Professional	AA	$407.38	$1,412.54	$1,949.84
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $831.76 / $831.76 / $831.76	Professional	QZ	$831.76	$831.76	$831.76
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 Professional Modifier AA Low / Median / High Price $281.84 / $354.81 / $467.74	Professional	AA	$281.84	$354.81	$467.74