Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $47.86 / $645.65	Professional		$32.36	$47.86	$645.65
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $389.05 / $2,238.72 / $2,818.38	Professional	AA	$389.05	$2,238.72	$2,818.38
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $269.15 / $426.58 / $575.44	Professional	QX	$269.15	$426.58	$575.44
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $295.12 / $309.03 / $489.78	Professional	QY	$295.12	$309.03	$489.78
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $120.23 / $134.90 / $346.74	Professional	QZ	$120.23	$134.90	$346.74
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $123.03 / $416.87 / $660.69	Professional	AA	$123.03	$416.87	$660.69
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $70.79 / $97.72 / $229.09	Professional	QX	$70.79	$97.72	$229.09
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $97.72 / $97.72 / $229.09	Professional	QY	$97.72	$97.72	$229.09
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $85.11 / $173.78 / $524.81	Professional	QZ	$85.11	$173.78	$524.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $239.88 / $288.40	Professional		$208.93	$239.88	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $346.74 / $478.63	Professional		$251.19	$346.74	$478.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $104.71 / $3,715.35	Facility		$81.28	$104.71	$3,715.35
Medica Facility/Professional Facility Modifier QK Low / Median / High Price $39.81 / $39.81 / $52.48	Facility	QK	$39.81	$39.81	$52.48
Medica Facility/Professional Facility Modifier QX Low / Median / High Price $39.81 / $39.81 / $52.48	Facility	QX	$39.81	$39.81	$52.48
Medica Facility/Professional Facility Modifier QY Low / Median / High Price $39.81 / $39.81 / $52.48	Facility	QY	$39.81	$39.81	$52.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $57.54 / $1,348.96	Professional		$38.02	$57.54	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $46.77 / $77.62	Professional		$36.31	$46.77	$77.62