Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional	AA	$1,000.00	$1,000.00	$1,000.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $154.88 / $524.81 / $562.34	Professional	QZ	$154.88	$524.81	$562.34
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $173.78 / $173.78 / $1,096.48	Professional	QZ	$173.78	$173.78	$1,096.48
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