Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $870.96 / $1,122.02 / $1,819.70	Professional	AA	$870.96	$1,122.02	$1,819.70
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $39.81 / $138.04 / $281.84	Professional	QZ	$39.81	$138.04	$281.84
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $218.78 / $281.84 / $1,148.15	Professional	AA	$218.78	$281.84	$1,148.15
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $194.98 / $239.88 / $1,096.48	Professional	QZ	$194.98	$239.88	$1,096.48
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