Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $120.23 / $281.84	Facility		$34.67	$120.23	$281.84
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $8.13 / $8.13 / $186.21	Facility	QX	$8.13	$8.13	$186.21
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $457.09 / $933.25 / $1,584.89	Professional	AA	$457.09	$933.25	$1,584.89
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $208.93 / $380.19 / $724.44	Professional	QK	$208.93	$380.19	$724.44
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $234.42 / $398.11 / $707.95	Professional	QX	$234.42	$398.11	$707.95
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $251.19 / $346.74 / $676.08	Professional	QY	$251.19	$346.74	$676.08
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $213.80 / $602.56 / $1,348.96	Professional	QZ	$213.80	$602.56	$1,348.96
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $141.25 / $363.08 / $776.25	Professional	AA	$141.25	$363.08	$776.25
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $69.18 / $112.20 / $338.84	Professional	QK	$69.18	$112.20	$338.84
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $67.61 / $97.72 / $257.04	Professional	QX	$67.61	$97.72	$257.04
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $57.54 / $109.65 / $229.09	Professional	QY	$57.54	$109.65	$229.09
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $138.04 / $181.97 / $478.63	Professional	QZ	$138.04	$181.97	$478.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.82 / $1.82 / $1.82	Facility		$1.82	$1.82	$1.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $81.28 / $3,715.35	Facility		$34.67	$81.28	$3,715.35
Medica Facility/Professional Facility Modifier QK Low / Median / High Price $39.81 / $39.81 / $39.81	Facility	QK	$39.81	$39.81	$39.81
Medica Facility/Professional Facility Modifier QX Low / Median / High Price $39.81 / $39.81 / $39.81	Facility	QX	$39.81	$39.81	$39.81
Medica Facility/Professional Facility Modifier QY Low / Median / High Price $39.81 / $39.81 / $39.81	Facility	QY	$39.81	$39.81	$39.81