Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.50 / $300.00 / $891.66	Facility		$58.50	$300.00	$891.66
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $640.20 / $1,454.69 / $1,454.69	Facility	QZ	$640.20	$1,454.69	$1,454.69
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $350.69 / $573.23 / $980.00	Professional	AA	$350.69	$573.23	$980.00
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $140.00 / $140.00 / $182.50	Professional	QK	$140.00	$140.00	$182.50
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $58.84 / $167.50 / $182.50	Professional	QX	$58.84	$167.50	$182.50
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $173.25 / $173.25 / $173.25	Professional	QY	$173.25	$173.25	$173.25
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $428.01 / $542.13 / $699.26	Professional	QZ	$428.01	$542.13	$699.26
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $114.72 / $550.27 / $825.00	Professional	AA	$114.72	$550.27	$825.00
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $288.00 / $288.00 / $336.00	Professional	QK	$288.00	$288.00	$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 $118.86 / $282.98 / $628.88	Professional	QZ	$118.86	$282.98	$628.88
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 $342.85 / $342.85 / $428.56	Professional	AA	$342.85	$342.85	$428.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.50 / $105.60 / $672.00	Facility		$43.50	$105.60	$672.00