Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $658.62 / $1,001.98 / $1,400.00	Professional	AA	$658.62	$1,001.98	$1,400.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $672.58 / $817.80 / $1,129.02	Professional	QZ	$672.58	$817.80	$1,129.02
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $600.00 / $707.49 / $707.49	Professional	AA	$600.00	$707.49	$707.49
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $1,100.54 / $1,100.54 / $1,425.00	Professional	QZ	$1,100.54	$1,100.54	$1,425.00
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $411.42 / $411.42 / $514.28	Professional	AA	$411.42	$411.42	$514.28