Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $309.03 / $309.03 / $2,344.23	Facility	QX	$309.03	$309.03	$2,344.23
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $524.81 / $1,905.46 / $3,090.30	Professional	AA	$524.81	$1,905.46	$3,090.30
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $251.19 / $2,454.71 / $3,235.94	Professional	QZ	$251.19	$2,454.71	$3,235.94
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