Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $199.53 / $676.08 / $1,348.96	Professional	AA	$199.53	$676.08	$1,348.96
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $128.82 / $436.52 / $478.63	Professional	QZ	$128.82	$436.52	$478.63
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $165.96 / $165.96 / $537.03	Professional	QZ	$165.96	$165.96	$537.03
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