Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $630.96 / $1,548.82 / $1,548.82	Professional	AA	$630.96	$1,548.82	$1,548.82
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $524.81 / $524.81 / $870.96	Professional	QZ	$524.81	$524.81	$870.96
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $173.78 / $407.38 / $851.14	Professional	QZ	$173.78	$407.38	$851.14
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