Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $432.00 / $667.00 / $1,540.00	Professional	AA	$432.00	$667.00	$1,540.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $560.87 / $672.58 / $741.37	Professional	QZ	$560.87	$672.58	$741.37
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $191.20 / $260.02 / $292.54	Professional	AA	$191.20	$260.02	$292.54
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $174.51 / $628.88 / $1,336.37	Professional	QZ	$174.51	$628.88	$1,336.37
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $342.85 / $342.85 / $428.56	Professional	AA	$342.85	$342.85	$428.56