Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,659.59 / $2,344.23 / $2,818.38	Professional	AA	$1,659.59	$2,344.23	$2,818.38
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $338.84 / $398.11 / $478.63	Professional	QZ	$338.84	$398.11	$478.63
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $398.11 / $616.60 / $1,949.84	Professional	AA	$398.11	$616.60	$1,949.84
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $457.09 / $812.83 / $1,380.38	Professional	QZ	$457.09	$812.83	$1,380.38
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