Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,230.27 / $3,801.89 / $3,801.89	Professional	AA	$1,230.27	$3,801.89	$3,801.89
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $912.01 / $912.01 / $912.01	Professional	QZ	$912.01	$912.01	$912.01
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $891.25 / $977.24 / $1,819.70	Professional	QZ	$891.25	$977.24	$1,819.70
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