Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $891.25	Facility		$47.86	$47.86	$891.25
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $323.59 / $323.59 / $323.59	Facility	QX	$323.59	$323.59	$323.59
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $776.25 / $1,380.38 / $2,137.96	Professional	AA	$776.25	$1,380.38	$2,137.96
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $331.13 / $537.03 / $851.14	Professional	QK	$331.13	$537.03	$851.14
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $331.13 / $537.03 / $831.76	Professional	QX	$331.13	$537.03	$831.76
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $660.69 / $1,096.48 / $2,398.83	Professional	QZ	$660.69	$1,096.48	$2,398.83
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $933.25 / $933.25 / $1,047.13	Professional	AA	$933.25	$933.25	$1,047.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $69.18 / $107.15	Facility		$57.54	$69.18	$107.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $44.67	Facility		$22.39	$22.39	$44.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $524.81 / $812.83	Professional		$478.63	$524.81	$812.83