Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $533.50 / $533.50 / $533.50	Facility	QZ	$533.50	$533.50	$533.50
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $400.62 / $598.72 / $1,540.00	Professional	AA	$400.62	$598.72	$1,540.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $458.58 / $664.94 / $878.95	Professional	QZ	$458.58	$664.94	$878.95
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $87.29 / $600.00 / $1,440.00	Professional	AA	$87.29	$600.00	$1,440.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $138.66 / $471.66 / $1,414.98	Professional	QZ	$138.66	$471.66	$1,414.98
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $274.27 / $274.27 / $342.85	Professional	AA	$274.27	$274.27	$342.85