Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $44.67 / $446.68	Professional		$34.67	$44.67	$446.68
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
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $436.52 / $436.52 / $436.52	Professional	QZ	$436.52	$436.52	$436.52
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $60.26 / $60.26 / $60.26	Professional	QX	$60.26	$60.26	$60.26
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $117.49 / $141.25 / $177.83	Professional	QZ	$117.49	$141.25	$177.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $302.00 / $389.05	Professional		$229.09	$302.00	$389.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $2,630.27 / $3,090.30	Facility		$81.28	$2,630.27	$3,090.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $61.66 / $1,348.96	Professional		$50.12	$61.66	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $57.54 / $74.13	Professional		$50.12	$57.54	$74.13