Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $747.50 / $747.50 / $747.50	Professional	AA	$747.50	$747.50	$747.50
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $423.00 / $493.50 / $572.88	Professional	QX	$423.00	$493.50	$572.88
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $572.88 / $572.88 / $572.88	Professional	QY	$572.88	$572.88	$572.88
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $103.65 / $700.00 / $1,232.00	Professional	QZ	$103.65	$700.00	$1,232.00
Cigna Facility/Professional Professional Modifier QX Low / Median / High Price $120.00 / $120.00 / $120.00	Professional	QX	$120.00	$120.00	$120.00
Cigna Facility/Professional Professional Modifier QY Low / Median / High Price $120.00 / $120.00 / $120.00	Professional	QY	$120.00	$120.00	$120.00