Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,548.82 / $1,949.84 / $2,511.89	Professional	AA	$1,548.82	$1,949.84	$2,511.89
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $173.78 / $181.97 / $977.24	Professional	QZ	$173.78	$181.97	$977.24
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $316.23 / $1,148.15 / $1,479.11	Professional	AA	$316.23	$1,148.15	$1,479.11
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $363.08 / $758.58 / $1,288.25	Professional	QZ	$363.08	$758.58	$1,288.25
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