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 Professional Modifier AA Low / Median / High Price $165.96 / $954.99 / $1,737.80	Professional	AA	$165.96	$954.99	$1,737.80
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $295.12 / $389.05 / $660.69	Professional	QX	$295.12	$389.05	$660.69
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $398.11 / $416.87 / $1,000.00	Professional	QY	$398.11	$416.87	$1,000.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $100.00 / $354.81 / $977.24	Professional	QZ	$100.00	$354.81	$977.24
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