Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,540.00 / $1,540.00 / $1,540.00	Professional	AA	$1,540.00	$1,540.00	$1,540.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $932.45 / $954.20 / $1,138.81	Professional	QZ	$932.45	$954.20	$1,138.81
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $675.00 / $675.00 / $675.00	Professional	AA	$675.00	$675.00	$675.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $707.49 / $707.49 / $707.49	Professional	QZ	$707.49	$707.49	$707.49
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $411.42 / $411.42 / $514.28	Professional	AA	$411.42	$411.42	$514.28