Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $111.49 / $464.50 / $1,120.00	Professional	AA	$111.49	$464.50	$1,120.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $458.58 / $473.87 / $489.15	Professional	QZ	$458.58	$473.87	$489.15
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $375.00 / $375.00 / $375.00	Professional	AA	$375.00	$375.00	$375.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $220.84 / $247.60 / $471.66	Professional	QZ	$220.84	$247.60	$471.66
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $342.85 / $342.85 / $428.56	Professional	AA	$342.85	$342.85	$428.56