Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,000.00 / $1,698.24 / $1,698.24	Professional	AA	$1,000.00	$1,698.24	$1,698.24
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $478.63 / $478.63 / $478.63	Professional	QZ	$478.63	$478.63	$478.63
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $512.86 / $512.86 / $512.86	Professional	QZ	$512.86	$512.86	$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