Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $44.67 / $251.19	Facility		$39.81	$44.67	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.86 / $588.84	Professional		$30.20	$47.86	$588.84
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $389.05 / $389.05 / $616.60	Professional	AA	$389.05	$389.05	$616.60
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $269.15 / $346.74 / $549.54	Professional	QX	$269.15	$346.74	$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
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $120.23 / $138.04 / $436.52	Professional	QZ	$120.23	$138.04	$436.52
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $120.23 / $138.04 / $1,174.90	Professional	AA	$120.23	$138.04	$1,174.90
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $60.26 / $478.63 / $758.58	Professional	QX	$60.26	$478.63	$758.58
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $60.26 / $60.26 / $60.26	Professional	QY	$60.26	$60.26	$60.26
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $117.49 / $141.25 / $389.05	Professional	QZ	$117.49	$141.25	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $338.84 / $512.86	Professional		$239.88	$338.84	$512.86
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $57.54 / $239.88	Professional		$19.95	$57.54	$239.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $114.82 / $691.83	Professional		$57.54	$114.82	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $57.54 / $83.18	Professional		$45.71	$57.54	$83.18