Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $616.60 / $1,621.81 / $1,621.81	Facility	AA	$616.60	$1,621.81	$1,621.81
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $204.17 / $512.86 / $851.14	Facility	QK	$204.17	$512.86	$851.14
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $309.03 / $426.58 / $741.31	Facility	QX	$309.03	$426.58	$741.31
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $467.74 / $954.99 / $1,949.84	Facility	QZ	$467.74	$954.99	$1,949.84
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