Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $805.10 / $806.60 / $1,149.72	Professional	AA	$805.10	$806.60	$1,149.72
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $471.90 / $600.60 / $891.00	Professional	QX	$471.90	$600.60	$891.00
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $227.81 / $227.81 / $345.64	Professional	QX	$227.81	$227.81	$345.64
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $698.63 / $698.63 / $698.63	Professional	QZ	$698.63	$698.63	$698.63
BCBS Facility/Professional Professional Modifier QX Low / Median / High Price $97.90 / $191.25 / $254.25	Professional	QX	$97.90	$191.25	$254.25
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $184.90 / $361.25 / $480.25	Professional	QZ	$184.90	$361.25	$480.25
Cigna Facility/Professional Professional Modifier QX Low / Median / High Price $180.00 / $180.00 / $566.60	Professional	QX	$180.00	$180.00	$566.60
Cigna Facility/Professional Professional Modifier QY Low / Median / High Price $180.00 / $180.00 / $566.60	Professional	QY	$180.00	$180.00	$566.60
Health Alliance Plan Facility/Professional Professional Modifier AA Low / Median / High Price $805.10 / $1,149.72 / $1,149.72	Professional	AA	$805.10	$1,149.72	$1,149.72
Health Alliance Plan Facility/Professional Professional Modifier QX Low / Median / High Price $471.90 / $600.60 / $891.00	Professional	QX	$471.90	$600.60	$891.00