Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $707.95 / $831.76 / $1,698.24	Professional	AA	$707.95	$831.76	$1,698.24
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $562.34 / $562.34 / $912.01	Professional	QZ	$562.34	$562.34	$912.01
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $39.81 / $239.88 / $2,089.30	Professional	AA	$39.81	$239.88	$2,089.30
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $173.78 / $616.60 / $1,380.38	Professional	QZ	$173.78	$616.60	$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