Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $758.58 / $1,000.00 / $1,122.02	Professional	QZ	$758.58	$1,000.00	$1,122.02
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $251.19 / $467.74 / $1,096.48	Professional	QZ	$251.19	$467.74	$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