Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $402.00 / $644.13 / $1,120.00	Professional	AA	$402.00	$644.13	$1,120.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $496.80 / $663.57 / $982.13	Professional	QZ	$496.80	$663.57	$982.13
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $292.54 / $576.00 / $628.88	Professional	AA	$292.54	$576.00	$628.88
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $155.12 / $260.02 / $560.00	Professional	QZ	$155.12	$260.02	$560.00
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $342.85 / $342.85 / $428.56	Professional	AA	$342.85	$342.85	$428.56