Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $691.83 / $4,265.80 / $4,265.80	Facility	AA	$691.83	$4,265.80	$4,265.80
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $436.52 / $549.54 / $977.24	Facility	QK	$436.52	$549.54	$977.24
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $208.93 / $912.01 / $1,819.70	Facility	QX	$208.93	$912.01	$1,819.70
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $660.69 / $660.69 / $660.69	Facility	QY	$660.69	$660.69	$660.69
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $134.90 / $870.96 / $1,148.15	Facility	QZ	$134.90	$870.96	$1,148.15
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $575.44 / $1,288.25 / $2,398.83	Professional	AA	$575.44	$1,288.25	$2,398.83
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $416.87 / $831.76 / $1,698.24	Professional	QZ	$416.87	$831.76	$1,698.24
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
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $281.84 / $354.81 / $467.74	Professional	AA	$281.84	$354.81	$467.74