Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $112.20 / $537.03 / $1,122.02	Professional	AA	$112.20	$537.03	$1,122.02
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $91.20 / $123.03 / $660.69	Professional	QZ	$91.20	$123.03	$660.69
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $138.04 / $181.97 / $588.84	Professional	AA	$138.04	$181.97	$588.84
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $120.23 / $199.53 / $630.96	Professional	QZ	$120.23	$199.53	$630.96
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