Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $912.01 / $1,548.82 / $2,951.21	Professional	AA	$912.01	$1,548.82	$2,951.21
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $891.25 / $954.99 / $2,570.40	Professional	QZ	$891.25	$954.99	$2,570.40
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $346.74 / $467.74 / $1,148.15	Professional	AA	$346.74	$467.74	$1,148.15
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $467.74 / $758.58 / $1,230.27	Professional	QZ	$467.74	$758.58	$1,230.27
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