Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.50 / $330.00 / $665.00	Facility		$43.50	$330.00	$665.00
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $523.79 / $930.51 / $980.00	Facility	QZ	$523.79	$930.51	$980.00
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $384.00 / $516.11 / $1,260.00	Professional	AA	$384.00	$516.11	$1,260.00
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $58.62 / $58.62 / $367.35	Professional	QK	$58.62	$58.62	$367.35
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $56.41 / $152.50 / $248.85	Professional	QX	$56.41	$152.50	$248.85
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $711.00 / $711.00 / $711.00	Professional	QY	$711.00	$711.00	$711.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $450.94 / $550.29 / $733.73	Professional	QZ	$450.94	$550.29	$733.73
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $227.53 / $282.98 / $786.10	Professional	AA	$227.53	$282.98	$786.10
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $336.00 / $336.00 / $336.00	Professional	QK	$336.00	$336.00	$336.00
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $65.37 / $288.00 / $336.00	Professional	QX	$65.37	$288.00	$336.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $138.66 / $525.00 / $707.49	Professional	QZ	$138.66	$525.00	$707.49
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 $411.42 / $411.42 / $514.28	Professional	AA	$411.42	$411.42	$514.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.58 / $82.65 / $3,413.45	Facility		$36.58	$82.65	$3,413.45