Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $588.53 / $980.00 / $1,820.00	Professional	AA	$588.53	$980.00	$1,820.00
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $257.50 / $553.00 / $671.50	Professional	QX	$257.50	$553.00	$671.50
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $553.00 / $553.00 / $632.00	Professional	QY	$553.00	$553.00	$632.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $648.28 / $932.35 / $1,274.70	Professional	QZ	$648.28	$932.35	$1,274.70
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $248.56 / $825.00 / $1,920.00	Professional	AA	$248.56	$825.00	$1,920.00
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $672.00 / $672.00 / $672.00	Professional	QX	$672.00	$672.00	$672.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $368.41 / $840.00 / $1,572.20	Professional	QZ	$368.41	$840.00	$1,572.20
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $411.42 / $411.42 / $514.28	Professional	AA	$411.42	$411.42	$514.28