Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $524.81 / $812.83 / $1,412.54	Professional	AA	$524.81	$812.83	$1,412.54
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $363.08 / $562.34 / $794.33	Professional	QZ	$363.08	$562.34	$794.33
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $158.49 / $281.84 / $912.01	Professional	AA	$158.49	$281.84	$912.01
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $141.25 / $281.84 / $831.76	Professional	QZ	$141.25	$281.84	$831.76
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