Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $616.60 / $831.76 / $6,165.95	Facility	QX	$616.60	$831.76	$6,165.95
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $776.25 / $776.25 / $776.25	Facility	QY	$776.25	$776.25	$776.25
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,023.29 / $1,949.84 / $2,818.38	Professional	AA	$1,023.29	$1,949.84	$2,818.38
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $177.83 / $1,174.90 / $2,884.03	Professional	QZ	$177.83	$1,174.90	$2,884.03
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 $489.78 / $616.60 / $812.83	Professional	AA	$489.78	$616.60	$812.83