Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $446.68 / $758.58	Facility		$75.86	$446.68	$758.58
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $524.81 / $2,290.87 / $2,290.87	Facility	QZ	$524.81	$2,290.87	$2,290.87
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $416.87 / $562.34 / $1,023.29	Professional	AA	$416.87	$562.34	$1,023.29
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $218.78 / $371.54 / $537.03	Professional	QK	$218.78	$371.54	$537.03
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $162.18 / $354.81 / $562.34	Professional	QX	$162.18	$354.81	$562.34
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $251.19 / $338.84 / $457.09	Professional	QY	$251.19	$338.84	$457.09
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $436.52 / $575.44 / $776.25	Professional	QZ	$436.52	$575.44	$776.25
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $134.90 / $229.09 / $724.44	Professional	AA	$134.90	$229.09	$724.44
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $66.07 / $107.15 / $338.84	Professional	QK	$66.07	$107.15	$338.84
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $66.07 / $107.15 / $338.84	Professional	QX	$66.07	$107.15	$338.84
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $147.91 / $147.91 / $380.19	Professional	QY	$147.91	$147.91	$380.19
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $120.23 / $190.55 / $630.96	Professional	QZ	$120.23	$190.55	$630.96
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 $416.87 / $416.87 / $524.81	Professional	AA	$416.87	$416.87	$524.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $83.18 / $3,388.44	Facility		$36.31	$83.18	$3,388.44
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,737.80 / $1,737.80	Facility		$1,479.11	$1,737.80	$1,737.80