Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility	AA	$1,905.46	$1,905.46	$1,905.46
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $436.52 / $436.52 / $436.52	Facility	QK	$436.52	$436.52	$436.52
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $181.97 / $436.52 / $645.65	Facility	QX	$181.97	$436.52	$645.65
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $954.99 / $954.99 / $954.99	Facility	QZ	$954.99	$954.99	$954.99
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $616.60 / $1,445.44 / $2,754.23	Professional	AA	$616.60	$1,445.44	$2,754.23
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $562.34 / $870.96 / $1,584.89	Professional	QZ	$562.34	$870.96	$1,584.89
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 $354.81 / $436.52 / $575.44	Professional	AA	$354.81	$436.52	$575.44