Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $213.80 / $977.24 / $1,412.54	Professional	AA	$213.80	$977.24	$1,412.54
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $169.82 / $602.56 / $630.96	Professional	QZ	$169.82	$602.56	$630.96
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $199.53 / $213.80 / $870.96	Professional	AA	$199.53	$213.80	$870.96
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $141.25 / $234.42 / $851.14	Professional	QZ	$141.25	$234.42	$851.14
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