Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $1,035.13 / $1,035.13 / $1,035.13	Facility	QX	$1,035.13	$1,035.13	$1,035.13
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,813.32 / $1,813.32 / $1,813.32	Facility	QZ	$1,813.32	$1,813.32	$1,813.32
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,369.34 / $1,966.97 / $3,273.75	Professional	AA	$1,369.34	$1,966.97	$3,273.75
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $1,642.80 / $2,358.75 / $3,558.10	Professional	QZ	$1,642.80	$2,358.75	$3,558.10
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $698.15 / $698.15 / $793.35	Professional	AA	$698.15	$698.15	$793.35