Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility	QK	$1,174.90	$1,174.90	$1,174.90
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $812.83 / $870.96 / $1,548.82	Facility	QX	$812.83	$870.96	$1,548.82
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,230.27 / $1,230.27 / $3,801.89	Facility	QZ	$1,230.27	$1,230.27	$3,801.89
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