Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $304.20 / $304.20 / $304.20	Facility	QX	$304.20	$304.20	$304.20
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,670.49 / $1,670.49 / $1,670.49	Facility	QZ	$1,670.49	$1,670.49	$1,670.49
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $738.99 / $1,258.00 / $2,100.00	Professional	AA	$738.99	$1,258.00	$2,100.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $373.99 / $1,000.50 / $1,715.70	Professional	QZ	$373.99	$1,000.50	$1,715.70
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $465.43 / $465.43 / $528.90	Professional	AA	$465.43	$465.43	$528.90