Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.00 / $337.44 / $452.70	Facility		$216.00	$337.44	$452.70
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $384.00 / $589.84 / $1,020.00	Professional	AA	$384.00	$589.84	$1,020.00
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $58.62 / $598.50 / $655.50	Professional	QK	$58.62	$598.50	$655.50
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $56.41 / $159.50 / $226.95	Professional	QX	$56.41	$159.50	$226.95
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $218.05 / $218.05 / $218.05	Professional	QY	$218.05	$218.05	$218.05
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $357.50 / $646.00 / $902.50	Professional	QZ	$357.50	$646.00	$902.50
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $411.42 / $411.42 / $514.28	Professional	AA	$411.42	$411.42	$514.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $300.00 / $488.17	Professional		$255.00	$300.00	$488.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.93 / $89.21 / $4,055.10	Facility		$57.93	$89.21	$4,055.10
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $871.92 / $3,103.83 / $6,540.20	Facility		$871.92	$3,103.83	$6,540.20
Wellmark Facility/Professional Professional Modifier QX Low / Median / High Price $194.34 / $246.00 / $246.00	Professional	QX	$194.34	$246.00	$246.00