Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $917.70 / $1,689.60 / $2,460.50	Professional	AA	$917.70	$1,689.60	$2,460.50
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $539.75 / $871.20 / $1,636.80	Professional	QX	$539.75	$871.20	$1,636.80
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $692.15 / $900.24 / $1,227.59	Professional	QY	$692.15	$900.24	$1,227.59
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $267.42 / $1,752.60 / $1,955.80	Professional	QZ	$267.42	$1,752.60	$1,955.80
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $124.38 / $1,170.00 / $2,730.00	Professional	AA	$124.38	$1,170.00	$2,730.00
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $120.54 / $747.50 / $1,113.75	Professional	QX	$120.54	$747.50	$1,113.75
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $276.51 / $520.00 / $1,113.75	Professional	QY	$276.51	$520.00	$1,113.75
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $855.00 / $1,265.00 / $1,840.00	Professional	QZ	$855.00	$1,265.00	$1,840.00
Cigna Facility/Professional Professional Modifier QX Low / Median / High Price $180.00 / $180.00 / $180.00	Professional	QX	$180.00	$180.00	$180.00
Cigna Facility/Professional Professional Modifier QY Low / Median / High Price $180.00 / $180.00 / $180.00	Professional	QY	$180.00	$180.00	$180.00
United Facility/Professional Professional Modifier QY Low / Median / High Price $80.00 / $80.00 / $80.00	Professional	QY	$80.00	$80.00	$80.00