Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,121.40 / $1,121.40 / $1,121.40	Professional	AA	$1,121.40	$1,121.40	$1,121.40
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $730.25 / $1,339.50 / $2,123.50	Professional	QX	$730.25	$1,339.50	$2,123.50
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $564.64 / $1,170.00 / $2,470.00	Professional	AA	$564.64	$1,170.00	$2,470.00
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $209.35 / $750.00 / $1,222.00	Professional	QX	$209.35	$750.00	$1,222.00
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $632.50 / $715.00 / $715.00	Professional	QY	$632.50	$715.00	$715.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $983.50 / $1,487.50 / $1,862.00	Professional	QZ	$983.50	$1,487.50	$1,862.00
Cigna Facility/Professional Professional Modifier QX Low / Median / High Price $180.00 / $180.00 / $180.00	Professional	QX	$180.00	$180.00	$180.00
Cigna Facility/Professional Professional Modifier QY Low / Median / High Price $180.00 / $180.00 / $180.00	Professional	QY	$180.00	$180.00	$180.00