Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $741.31 / $870.96 / $1,348.96	Facility	QX	$741.31	$870.96	$1,348.96
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $1,096.48 / $1,778.28 / $3,019.95	Professional	QZ	$1,096.48	$1,778.28	$3,019.95
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