Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $346.74 / $398.11	Facility		$269.15	$346.74	$398.11
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility	QZ	$1,380.38	$1,380.38	$1,380.38
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $128.82 / $588.84 / $977.24	Professional	AA	$128.82	$588.84	$977.24
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $66.07 / $295.12 / $398.11	Professional	QX	$66.07	$295.12	$398.11
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $245.47 / $275.42 / $331.13	Professional	QY	$245.47	$275.42	$331.13
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $446.68 / $512.86 / $676.08	Professional	QZ	$446.68	$512.86	$676.08
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $93.33 / $117.49 / $575.44	Professional	AA	$93.33	$117.49	$575.44
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $114.82 / $114.82 / $288.40	Professional	QX	$114.82	$114.82	$288.40
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $60.26 / $60.26 / $60.26	Professional	QY	$60.26	$60.26	$60.26
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $100.00 / $165.96 / $416.87	Professional	QZ	$100.00	$165.96	$416.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $57.54 / $112.20	Facility		$44.67	$57.54	$112.20
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $354.81 / $354.81 / $436.52	Professional	AA	$354.81	$354.81	$436.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $1,995.26 / $3,388.44	Facility		$40.74	$1,995.26	$3,388.44
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $7,079.46	Facility		$6,025.60	$6,025.60	$7,079.46