Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $436.52 / $891.25 / $1,698.24	Professional	AA	$436.52	$891.25	$1,698.24
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $794.33 / $831.76 / $1,122.02	Professional	QZ	$794.33	$831.76	$1,122.02
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional	AA	$1,148.15	$1,148.15	$1,148.15
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $199.53 / $302.00 / $1,174.90	Professional	QZ	$199.53	$302.00	$1,174.90
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $416.87 / $416.87 / $524.81	Professional	AA	$416.87	$416.87	$524.81