Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $234.42 / $891.25 / $1,949.84	Professional	AA	$234.42	$891.25	$1,949.84
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $478.63 / $602.56 / $831.76	Professional	QZ	$478.63	$602.56	$831.76
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $190.55 / $346.74 / $954.99	Professional	AA	$190.55	$346.74	$954.99
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $190.55 / $457.09 / $1,258.93	Professional	QZ	$190.55	$457.09	$1,258.93
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