Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $309.03 / $467.74	Facility		$41.69	$309.03	$467.74
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $524.81 / $870.96 / $1,380.38	Professional	AA	$524.81	$870.96	$1,380.38
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $416.87 / $524.81 / $912.01	Professional	QX	$416.87	$524.81	$912.01
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $398.11 / $467.74 / $562.34	Professional	QY	$398.11	$467.74	$562.34
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $95.50 / $354.81 / $851.14	Professional	QZ	$95.50	$354.81	$851.14
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 / $61.66	Facility		$61.66	$61.66	$61.66
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 $354.81 / $436.52 / $575.44	Professional	AA	$354.81	$436.52	$575.44