Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $645.65 / $1,995.26	Facility		$44.67	$645.65	$1,995.26
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $141.25 / $141.25 / $891.25	Facility	QK	$141.25	$141.25	$891.25
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $91.20 / $245.47 / $537.03	Facility	QX	$91.20	$245.47	$537.03
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,862.09 / $1,862.09 / $2,041.74	Facility	QZ	$1,862.09	$1,862.09	$2,041.74
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $741.31 / $1,380.38 / $2,570.40	Professional	AA	$741.31	$1,380.38	$2,570.40
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $338.84 / $549.54 / $831.76	Professional	QK	$338.84	$549.54	$831.76
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $354.81 / $549.54 / $831.76	Professional	QX	$354.81	$549.54	$831.76
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $426.58 / $933.25 / $1,778.28	Professional	QZ	$426.58	$933.25	$1,778.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $87.10	Facility		$61.66	$61.66	$87.10
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 $562.34 / $707.95 / $933.25	Professional	AA	$562.34	$707.95	$933.25