Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,707.72 / $1,707.72 / $1,707.72	Professional	AA	$1,707.72	$1,707.72	$1,707.72
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $1,104.00 / $1,104.00 / $1,104.00	Professional	AA	$1,104.00	$1,104.00	$1,104.00
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $108.85 / $108.85 / $141.44	Professional	QX	$108.85	$108.85	$141.44
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $158.32 / $158.32 / $1,104.00	Professional	QZ	$158.32	$158.32	$1,104.00
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