Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $364.69 / $710.18 / $1,179.00	Professional	AA	$364.69	$710.18	$1,179.00
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $191.25 / $191.25 / $630.00	Professional	QX	$191.25	$191.25	$630.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $335.00 / $465.00 / $850.27	Professional	QZ	$335.00	$465.00	$850.27
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $189.83 / $388.98 / $900.00	Professional	AA	$189.83	$388.98	$900.00
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $12.88 / $340.36 / $453.81	Professional	QX	$12.88	$340.36	$453.81
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $128.81 / $151.88 / $453.81	Professional	QY	$128.81	$151.88	$453.81
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $271.18 / $311.86 / $640.00	Professional	QZ	$271.18	$311.86	$640.00
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