Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $223.87 / $223.87 / $223.87	Facility	QK	$223.87	$223.87	$223.87
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $120.23 / $120.23 / $1,548.82	Facility	QX	$120.23	$120.23	$1,548.82
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	QY	$100.00	$100.00	$100.00
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $645.65 / $645.65 / $645.65	Facility	QZ	$645.65	$645.65	$645.65
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $218.78 / $363.08 / $977.24	Professional	QZ	$218.78	$363.08	$977.24
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