Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $659.30 / $905.25 / $1,707.72	Professional	AA	$659.30	$905.25	$1,707.72
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $377.88 / $377.88 / $487.08	Professional	QX	$377.88	$377.88	$487.08
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $367.82 / $433.75 / $1,110.40	Professional	QY	$367.82	$433.75	$1,110.40
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $1,690.00 / $1,690.00 / $1,690.00	Professional	AA	$1,690.00	$1,690.00	$1,690.00
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $115.35 / $292.50 / $422.50	Professional	QX	$115.35	$292.50	$422.50
Cigna Facility/Professional Professional Modifier QX Low / Median / High Price $174.00 / $180.00 / $180.00	Professional	QX	$174.00	$180.00	$180.00
Cigna Facility/Professional Professional Modifier QY Low / Median / High Price $174.00 / $180.00 / $180.00	Professional	QY	$174.00	$180.00	$180.00