Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $389.05 / $389.05 / $954.99	Facility	AA	$389.05	$389.05	$954.99
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $181.97 / $446.68 / $676.08	Facility	QK	$181.97	$446.68	$676.08
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $323.59 / $575.44 / $870.96	Facility	QX	$323.59	$575.44	$870.96
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $251.19 / $316.23 / $575.44	Facility	QY	$251.19	$316.23	$575.44
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $398.11 / $676.08 / $1,071.52	Facility	QZ	$398.11	$676.08	$1,071.52
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $398.11 / $870.96 / $1,698.24	Professional	AA	$398.11	$870.96	$1,698.24
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 $281.84 / $354.81 / $467.74	Professional	AA	$281.84	$354.81	$467.74