Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $537.03 / $537.03 / $537.03	Facility	QZ	$537.03	$537.03	$537.03
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $436.52 / $645.65 / $1,202.26	Professional	AA	$436.52	$645.65	$1,202.26
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $457.09 / $676.08 / $870.96	Professional	QZ	$457.09	$676.08	$870.96
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $162.18 / $331.13 / $676.08	Professional	AA	$162.18	$331.13	$676.08
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $141.25 / $295.12 / $812.83	Professional	QZ	$141.25	$295.12	$812.83
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $281.84 / $281.84 / $354.81	Professional	AA	$281.84	$281.84	$354.81