Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.86 / $562.34	Professional		$30.20	$47.86	$562.34
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $295.12 / $489.78 / $549.54	Professional	QX	$295.12	$489.78	$549.54
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $295.12 / $309.03 / $489.78	Professional	QY	$295.12	$309.03	$489.78
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $138.04 / $138.04 / $141.25	Professional	AA	$138.04	$138.04	$141.25
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $70.79 / $70.79 / $72.44	Professional	QX	$70.79	$70.79	$72.44
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $120.23 / $138.04 / $144.54	Professional	QZ	$120.23	$138.04	$144.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $38.90 / $52.48	Facility		$31.62	$38.90	$52.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $323.59 / $457.09	Professional		$239.88	$323.59	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $50.12 / $70.79	Professional		$43.65	$50.12	$70.79