Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $234.42 / $977.24 / $1,698.24	Professional	AA	$234.42	$977.24	$1,698.24
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $316.23 / $741.31 / $1,318.26	Professional	QZ	$316.23	$741.31	$1,318.26
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $169.82 / $263.03 / $676.08	Professional	AA	$169.82	$263.03	$676.08
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $181.97 / $295.12 / $977.24	Professional	QZ	$181.97	$295.12	$977.24
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