Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $898.56 / $898.56 / $1,246.44	Facility	QZ	$898.56	$898.56	$1,246.44
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $432.00 / $619.08 / $980.00	Professional	AA	$432.00	$619.08	$980.00
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $63.61 / $63.61 / $671.50	Professional	QK	$63.61	$63.61	$671.50
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $167.50 / $195.25 / $948.00	Professional	QX	$167.50	$195.25	$948.00
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $711.00 / $869.00 / $948.00	Professional	QY	$711.00	$869.00	$948.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $519.72 / $640.99 / $817.80	Professional	QZ	$519.72	$640.99	$817.80
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $172.08 / $672.00 / $900.00	Professional	AA	$172.08	$672.00	$900.00
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $238.62 / $238.62 / $336.00	Professional	QK	$238.62	$238.62	$336.00
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $57.36 / $238.62 / $336.00	Professional	QX	$57.36	$238.62	$336.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $162.88 / $347.03 / $1,021.93	Professional	QZ	$162.88	$347.03	$1,021.93
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $411.42 / $411.42 / $514.28	Professional	AA	$411.42	$411.42	$514.28