Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $45.00 / $665.00	Facility		$40.00	$45.00	$665.00
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $127.22 / $771.40 / $1,247.40	Professional	AA	$127.22	$771.40	$1,247.40
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $418.95 / $493.50 / $736.56	Professional	QX	$418.95	$493.50	$736.56
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $418.95 / $418.95 / $493.50	Professional	QY	$418.95	$418.95	$493.50
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $114.41 / $344.50 / $344.50	Professional	QZ	$114.41	$344.50	$344.50
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $145.11 / $660.00 / $885.15	Professional	AA	$145.11	$660.00	$885.15
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $82.92 / $393.40 / $1,034.00	Professional	QX	$82.92	$393.40	$1,034.00
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $93.29 / $207.30 / $344.23	Professional	QY	$93.29	$207.30	$344.23
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $124.38 / $672.00 / $1,040.00	Professional	QZ	$124.38	$672.00	$1,040.00
Cigna Facility/Professional Professional Modifier QX Low / Median / High Price $150.00 / $150.00 / $150.00	Professional	QX	$150.00	$150.00	$150.00
Cigna Facility/Professional Professional Modifier QY Low / Median / High Price $150.00 / $150.00 / $150.00	Professional	QY	$150.00	$150.00	$150.00