Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $933.25 / $933.25 / $933.25	Facility	AA	$933.25	$933.25	$933.25
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $489.78 / $588.84 / $977.24	Facility	QK	$489.78	$588.84	$977.24
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $446.68 / $1,023.29 / $1,148.15	Facility	QX	$446.68	$1,023.29	$1,148.15
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $478.63 / $478.63 / $478.63	Facility	QY	$478.63	$478.63	$478.63
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,122.02 / $1,819.70 / $1,819.70	Facility	QZ	$1,122.02	$1,819.70	$1,819.70
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $794.33 / $1,621.81 / $2,570.40	Professional	AA	$794.33	$1,621.81	$2,570.40
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $588.84 / $1,096.48 / $2,290.87	Professional	QZ	$588.84	$1,096.48	$2,290.87
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 $416.87 / $524.81 / $691.83	Professional	AA	$416.87	$524.81	$691.83