Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $758.58 / $1,230.27 / $2,398.83	Professional	AA	$758.58	$1,230.27	$2,398.83
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $660.69 / $977.24 / $1,000.00	Professional	QZ	$660.69	$977.24	$1,000.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $316.23 / $354.81 / $467.74	Professional	AA	$316.23	$354.81	$467.74
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $245.47 / $426.58 / $1,047.13	Professional	QZ	$245.47	$426.58	$1,047.13
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