Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $371.54 / $575.44	Facility		$41.69	$371.54	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.86 / $616.60	Professional		$30.20	$47.86	$616.60
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $389.05 / $776.25 / $2,630.27	Professional	AA	$389.05	$776.25	$2,630.27
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $269.15 / $380.19 / $549.54	Professional	QX	$269.15	$380.19	$549.54
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $239.88 / $309.03 / $489.78	Professional	QY	$239.88	$309.03	$489.78
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $120.23 / $141.25 / $977.24	Professional	QZ	$120.23	$141.25	$977.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $194.98	Facility		$100.00	$100.00	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $316.23 / $575.44	Professional		$104.71	$316.23	$575.44
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 Low / Median / High Price $234.42 / $346.74 / $562.34	Professional		$234.42	$346.74	$562.34
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $416.87 / $524.81 / $691.83	Professional	AA	$416.87	$524.81	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $57.54 / $89.13	Professional		$39.81	$57.54	$89.13