Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $199.61 / $993.59 / $1,114.45	Professional	AA	$199.61	$993.59	$1,114.45
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $793.96 / $793.96 / $975.00	Professional	QZ	$793.96	$793.96	$975.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $1,056.00 / $1,056.00 / $1,100.54	Professional	AA	$1,056.00	$1,056.00	$1,100.54
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $480.00 / $480.00 / $480.00	Professional	QX	$480.00	$480.00	$480.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $122.16 / $122.16 / $290.85	Professional	QZ	$122.16	$122.16	$290.85
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $411.42 / $411.42 / $514.28	Professional	AA	$411.42	$411.42	$514.28