Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $331.13 / $549.54 / $1,122.02	Professional	AA	$331.13	$549.54	$1,122.02
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $269.15 / $380.19 / $588.84	Professional	QZ	$269.15	$380.19	$588.84
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $114.82 / $162.18 / $575.44	Professional	AA	$114.82	$162.18	$575.44
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $120.23 / $251.19 / $630.96	Professional	QZ	$120.23	$251.19	$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