Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $35.00 / $35.00	Facility		$35.00	$35.00	$35.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.82 / $41.00 / $453.66	Professional		$31.82	$41.00	$453.66
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $387.60 / $387.60 / $1,260.00	Professional	AA	$387.60	$387.60	$1,260.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $102.20 / $102.20 / $420.00	Professional	AA	$102.20	$102.20	$420.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $84.17 / $330.00 / $490.00	Professional	QZ	$84.17	$330.00	$490.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $238.00 / $336.00	Professional		$200.00	$238.00	$336.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $350.00 / $476.05	Professional		$250.00	$350.00	$476.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.00 / $2,170.00 / $3,745.00	Facility		$104.00	$2,170.00	$3,745.00
Medica Facility/Professional Facility Modifier QK Low / Median / High Price $39.50 / $39.50 / $52.00	Facility	QK	$39.50	$39.50	$52.00
Medica Facility/Professional Facility Modifier QX Low / Median / High Price $39.50 / $39.50 / $52.00	Facility	QX	$39.50	$39.50	$52.00
Medica Facility/Professional Facility Modifier QY Low / Median / High Price $39.50 / $39.50 / $52.00	Facility	QY	$39.50	$39.50	$52.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $55.00 / $1,351.68	Professional		$38.00	$55.00	$1,351.68
United Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $49.00 / $78.00	Professional		$36.00	$49.00	$78.00