Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $234.42 / $741.31 / $1,698.24	Professional	AA	$234.42	$741.31	$1,698.24
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $257.04 / $380.19 / $562.34	Professional	QX	$257.04	$380.19	$562.34
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $269.15 / $389.05 / $616.60	Professional	QY	$269.15	$389.05	$616.60
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $72.44 / $269.15 / $602.56	Professional	QZ	$72.44	$269.15	$602.56
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 $281.84 / $354.81 / $467.74	Professional	AA	$281.84	$354.81	$467.74