Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $436.52 / $794.33 / $851.14	Professional	AA	$436.52	$794.33	$851.14
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $64.57 / $363.08 / $537.03	Professional	QX	$64.57	$363.08	$537.03
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $269.15 / $269.15 / $389.05	Professional	QY	$269.15	$269.15	$389.05
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $199.53 / $199.53 / $457.09	Professional	QZ	$199.53	$199.53	$457.09
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $97.72 / $257.04 / $309.03	Professional	QZ	$97.72	$257.04	$309.03
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