Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $724.44 / $724.44 / $724.44	Facility	QX	$724.44	$724.44	$724.44
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $630.96 / $630.96 / $630.96	Facility	QZ	$630.96	$630.96	$630.96
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $831.76 / $977.24 / $1,548.82	Professional	AA	$831.76	$977.24	$1,548.82
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $309.03 / $354.81 / $575.44	Professional	QX	$309.03	$354.81	$575.44
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $61.66 / $562.34 / $645.65	Professional	QY	$61.66	$562.34	$645.65
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $102.33 / $389.05 / $501.19	Professional	QZ	$102.33	$389.05	$501.19
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