Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $57.54 / $407.38	Facility		$39.81	$57.54	$407.38
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 AA Low / Median / High Price $794.33 / $794.33 / $794.33	Professional	AA	$794.33	$794.33	$794.33
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 QX Low / Median / High Price $77.62 / $77.62 / $97.72	Professional	QX	$77.62	$77.62	$97.72
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $97.72 / $97.72 / $204.17	Professional	QY	$97.72	$97.72	$204.17
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $138.04 / $138.04 / $173.78	Professional	QZ	$138.04	$138.04	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $281.84 / $398.11	Professional		$234.42	$281.84	$398.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $60.26	Professional		$39.81	$50.12	$60.26