Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $683.65 / $1,391.22 / $2,453.21	Professional	AA	$683.65	$1,391.22	$2,453.21
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $725.12 / $830.00 / $1,584.00	Professional	AA	$725.12	$830.00	$1,584.00
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $239.09 / $488.22 / $488.22	Professional	QX	$239.09	$488.22	$488.22
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $239.09 / $239.09 / $1,268.80	Professional	QY	$239.09	$239.09	$1,268.80
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $155.12 / $520.00 / $1,265.25	Professional	QZ	$155.12	$520.00	$1,265.25
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