Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $645.65 / $977.24 / $1,621.81	Professional	AA	$645.65	$977.24	$1,621.81
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $537.03 / $537.03 / $851.14	Professional	QZ	$537.03	$537.03	$851.14
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $213.80 / $213.80 / $213.80	Professional	AA	$213.80	$213.80	$213.80
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $218.78 / $354.81 / $512.86	Professional	QZ	$218.78	$354.81	$512.86
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