Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.00 / $61.00 / $61.00	Facility		$61.00	$61.00	$61.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $48.00 / $64.04	Professional		$30.00	$48.00	$64.04
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $135.16 / $135.16 / $141.93	Professional	AA	$135.16	$135.16	$141.93
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $70.95 / $70.95 / $126.16	Professional	QX	$70.95	$70.95	$126.16
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $143.36 / $143.36 / $145.11	Professional	QZ	$143.36	$143.36	$145.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.91 / $38.49 / $51.96	Facility		$31.91	$38.49	$51.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $390.00 / $390.00	Professional		$390.00	$390.00	$390.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $315.00 / $454.10	Professional		$210.00	$315.00	$454.10
United Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $50.00 / $64.00	Professional		$44.00	$50.00	$64.00