Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.50 / $275.00 / $392.35	Facility		$43.50	$275.00	$392.35
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,384.32 / $1,384.32 / $1,384.32	Facility	QZ	$1,384.32	$1,384.32	$1,384.32
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $127.56 / $517.16 / $980.00	Professional	AA	$127.56	$517.16	$980.00
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $172.50 / $189.75 / $395.00	Professional	QX	$172.50	$189.75	$395.00
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $395.00 / $395.00 / $395.00	Professional	QY	$395.00	$395.00	$395.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $466.22 / $527.37 / $672.58	Professional	QZ	$466.22	$527.37	$672.58
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $95.60 / $576.00 / $786.10	Professional	AA	$95.60	$576.00	$786.10
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $288.00 / $288.00 / $288.00	Professional	QX	$288.00	$288.00	$288.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $133.84 / $252.38 / $550.27	Professional	QZ	$133.84	$252.38	$550.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.24 / $58.19 / $112.56	Facility		$44.24	$58.19	$112.56
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $342.85 / $342.85 / $428.56	Professional	AA	$342.85	$342.85	$428.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.50 / $3,413.45 / $3,413.45	Facility		$117.50	$3,413.45	$3,413.45