Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility	QK	$1,023.29	$1,023.29	$1,023.29
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $407.38 / $407.38 / $2,398.83	Facility	QX	$407.38	$407.38	$2,398.83
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $457.09 / $1,513.56 / $2,511.89	Professional	AA	$457.09	$1,513.56	$2,511.89
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $426.58 / $660.69 / $954.99	Professional	QX	$426.58	$660.69	$954.99
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $537.03 / $812.83 / $891.25	Professional	QY	$537.03	$812.83	$891.25
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $1,000.00 / $1,905.46 / $2,691.53	Professional	QZ	$1,000.00	$1,905.46	$2,691.53
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 $416.87 / $524.81 / $691.83	Professional	AA	$416.87	$524.81	$691.83