Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $588.84 / $1,096.48 / $1,698.24	Professional	AA	$588.84	$1,096.48	$1,698.24
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $380.19 / $645.65 / $891.25	Professional	QX	$380.19	$645.65	$891.25
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $436.52 / $630.96 / $831.76	Professional	QY	$436.52	$630.96	$831.76
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $616.60 / $933.25 / $1,288.25	Professional	QZ	$616.60	$933.25	$1,288.25
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $218.78 / $524.81 / $1,778.28	Professional	AA	$218.78	$524.81	$1,778.28
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $676.08 / $676.08 / $676.08	Professional	QX	$676.08	$676.08	$676.08
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $263.03 / $363.08 / $1,584.89	Professional	QZ	$263.03	$363.08	$1,584.89
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $416.87 / $416.87 / $524.81	Professional	AA	$416.87	$416.87	$524.81