Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $954.99 / $954.99 / $954.99	Facility	AA	$954.99	$954.99	$954.99
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $676.08 / $933.25 / $933.25	Facility	QK	$676.08	$933.25	$933.25
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $501.19 / $630.96 / $2,570.40	Facility	QX	$501.19	$630.96	$2,570.40
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $575.44 / $575.44 / $575.44	Facility	QY	$575.44	$575.44	$575.44
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $660.69 / $660.69 / $660.69	Facility	QZ	$660.69	$660.69	$660.69
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