Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $291.45 / $761.16 / $1,400.00	Professional	AA	$291.45	$761.16	$1,400.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $642.01 / $856.02 / $1,131.16	Professional	QZ	$642.01	$856.02	$1,131.16
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $227.53 / $864.00 / $900.00	Professional	AA	$227.53	$864.00	$900.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $220.84 / $390.05 / $1,350.00	Professional	QZ	$220.84	$390.05	$1,350.00
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $411.42 / $411.42 / $514.28	Professional	AA	$411.42	$411.42	$514.28