Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $48.00 / $888.00	Facility		$48.00	$48.00	$888.00
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $323.70 / $323.70 / $323.70	Facility	QX	$323.70	$323.70	$323.70
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,178.99 / $1,587.50 / $2,201.50	Professional	AA	$1,178.99	$1,587.50	$2,201.50
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $682.03 / $902.88 / $1,523.25	Professional	QK	$682.03	$902.88	$1,523.25
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $254.44 / $913.24 / $1,531.71	Professional	QX	$254.44	$913.24	$1,531.71
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $1,415.25 / $1,415.25 / $2,303.64	Professional	QZ	$1,415.25	$1,415.25	$2,303.64
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $930.86 / $930.86 / $1,057.80	Professional	AA	$930.86	$930.86	$1,057.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.43 / $22.43 / $22.43	Facility		$22.43	$22.43	$22.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $491.04 / $553.84 / $1,000.00	Professional		$491.04	$553.84	$1,000.00