Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $645.65 / $645.65 / $645.65	Facility	QZ	$645.65	$645.65	$645.65
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $436.52 / $794.33 / $1,819.70	Professional	AA	$436.52	$794.33	$1,819.70
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $537.03 / $776.25 / $1,230.27	Professional	QZ	$537.03	$776.25	$1,230.27
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $134.90 / $524.81 / $1,258.93	Professional	AA	$134.90	$524.81	$1,258.93
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $141.25 / $281.84 / $1,047.13	Professional	QZ	$141.25	$281.84	$1,047.13
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $281.84 / $281.84 / $354.81	Professional	AA	$281.84	$281.84	$354.81