Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $645.65 / $2,454.71	Facility		$436.52	$645.65	$2,454.71
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility	QZ	$1,778.28	$1,778.28	$1,778.28
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $676.08 / $870.96 / $1,258.93	Professional	AA	$676.08	$870.96	$1,258.93
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $407.38 / $549.54 / $758.58	Professional	QK	$407.38	$549.54	$758.58
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $380.19 / $549.54 / $794.33	Professional	QX	$380.19	$549.54	$794.33
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $660.69 / $891.25 / $1,230.27	Professional	QZ	$660.69	$891.25	$1,230.27
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $199.53 / $363.08 / $831.76	Professional	AA	$199.53	$363.08	$831.76
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $223.87 / $223.87 / $616.60	Professional	QK	$223.87	$223.87	$616.60
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $223.87 / $223.87 / $616.60	Professional	QX	$223.87	$223.87	$616.60
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $213.80 / $338.84 / $1,096.48	Professional	QZ	$213.80	$338.84	$1,096.48
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 $562.34 / $562.34 / $707.95	Professional	AA	$562.34	$562.34	$707.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $354.81 / $3,388.44	Facility		$54.95	$354.81	$3,388.44