Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $660.69 / $1,000.00 / $1,412.54	Professional	AA	$660.69	$1,000.00	$1,412.54
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $575.44 / $724.44 / $1,122.02	Professional	QZ	$575.44	$724.44	$1,122.02
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $389.05 / $389.05 / $870.96	Professional	AA	$389.05	$389.05	$870.96
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $691.83 / $691.83 / $691.83	Professional	QZ	$691.83	$691.83	$691.83
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $416.87 / $416.87 / $524.81	Professional	AA	$416.87	$416.87	$524.81