Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $199.53 / $1,000.00 / $1,380.38	Professional	AA	$199.53	$1,000.00	$1,380.38
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $457.09 / $630.96 / $933.25	Professional	QX	$457.09	$630.96	$933.25
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $537.03 / $812.83 / $891.25	Professional	QY	$537.03	$812.83	$891.25
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $794.33 / $1,778.28 / $3,019.95	Professional	QZ	$794.33	$1,778.28	$3,019.95
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $1,096.48 / $1,096.48 / $1,513.56	Professional	AA	$1,096.48	$1,096.48	$1,513.56
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $467.74 / $467.74 / $467.74	Professional	QX	$467.74	$467.74	$467.74
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional	QZ	$1,023.29	$1,023.29	$1,023.29
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $416.87 / $416.87 / $524.81	Professional	AA	$416.87	$416.87	$524.81