Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $426.58 / $426.58 / $426.58	Facility	QK	$426.58	$426.58	$426.58
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $275.42 / $275.42 / $575.44	Facility	QX	$275.42	$275.42	$575.44
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $208.93 / $208.93 / $208.93	Facility	QY	$208.93	$208.93	$208.93
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