Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $1,651.08 / $1,651.08 / $1,651.08	Facility	QX	$1,651.08	$1,651.08	$1,651.08
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $2,502.01 / $2,800.00 / $2,800.00	Professional	AA	$2,502.01	$2,800.00	$2,800.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $453.26 / $453.26 / $453.26	Professional	QZ	$453.26	$453.26	$453.26
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $617.13 / $721.52 / $776.93	Professional	AA	$617.13	$721.52	$776.93