Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $870.96 / $1,071.52 / $2,089.30	Professional	AA	$870.96	$1,071.52	$2,089.30
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $213.80 / $213.80 / $1,000.00	Professional	QZ	$213.80	$213.80	$1,000.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $263.03 / $281.84 / $1,202.26	Professional	AA	$263.03	$281.84	$1,202.26
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $245.47 / $245.47 / $1,174.90	Professional	QZ	$245.47	$245.47	$1,174.90
Cigna Facility/Professional Facility Modifier QK Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	QK	$30.90	$30.90	$30.90
Cigna Facility/Professional Facility Modifier QX Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	QX	$30.90	$30.90	$30.90
Cigna Facility/Professional Facility Modifier QY Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	QY	$30.90	$30.90	$30.90