Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $65.02 / $65.02 / $65.02	Professional	QX	$65.02	$65.02	$65.02
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $96.85 / $96.85 / $96.85	Professional	QZ	$96.85	$96.85	$96.85
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