Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Facility	AA	$6,918.31	$6,918.31	$6,918.31
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $371.54 / $389.05 / $602.56	Facility	QK	$371.54	$389.05	$602.56
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $186.21 / $616.60 / $645.65	Facility	QX	$186.21	$616.60	$645.65
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $190.55 / $190.55 / $234.42	Facility	QY	$190.55	$190.55	$234.42
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $162.18 / $331.13 / $407.38	Facility	QZ	$162.18	$331.13	$407.38
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $512.86 / $1,148.15 / $2,187.76	Professional	AA	$512.86	$1,148.15	$2,187.76
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 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 $281.84 / $354.81 / $467.74	Professional	AA	$281.84	$354.81	$467.74