Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $512.86 / $812.83 / $1,548.82	Professional	AA	$512.86	$812.83	$1,548.82
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $389.05 / $660.69 / $1,230.27	Professional	QZ	$389.05	$660.69	$1,230.27
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $158.49 / $288.40 / $676.08	Professional	AA	$158.49	$288.40	$676.08
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $158.49 / $295.12 / $870.96	Professional	QZ	$158.49	$295.12	$870.96
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