Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $537.03 / $794.33 / $1,548.82	Professional	AA	$537.03	$794.33	$1,548.82
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $389.05 / $794.33 / $954.99	Professional	QZ	$389.05	$794.33	$954.99
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $158.49 / $199.53 / $676.08	Professional	AA	$158.49	$199.53	$676.08
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $177.83 / $354.81 / $630.96	Professional	QZ	$177.83	$354.81	$630.96
Cigna Facility/Professional Facility Modifier QK Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	QK	$30.90	$30.90	$30.90
Cigna Facility/Professional Facility Modifier QX Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	QX	$30.90	$30.90	$30.90
Cigna Facility/Professional Facility Modifier QY Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	QY	$30.90	$30.90	$30.90