Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $223.70 / $907.20 / $1,680.00	Professional	AA	$223.70	$907.20	$1,680.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $695.51 / $787.23 / $823.24	Professional	QZ	$695.51	$787.23	$823.24
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $1,100.00 / $1,100.00 / $1,100.00	Professional	AA	$1,100.00	$1,100.00	$1,100.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $193.90 / $1,021.93 / $1,021.93	Professional	QZ	$193.90	$1,021.93	$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