Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $446.68 / $691.83 / $1,548.82	Professional	AA	$446.68	$691.83	$1,548.82
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $169.82 / $489.78 / $1,047.13	Professional	QZ	$169.82	$489.78	$1,047.13
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $138.04 / $269.15 / $616.60	Professional	AA	$138.04	$269.15	$616.60
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $131.83 / $199.53 / $870.96	Professional	QZ	$131.83	$199.53	$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