Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $416.87 / $478.63	Facility		$323.59	$416.87	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $57.54 / $537.03	Professional		$34.67	$57.54	$537.03
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $269.15 / $380.19 / $549.54	Professional	QX	$269.15	$380.19	$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 AA Low / Median / High Price $229.09 / $229.09 / $229.09	Professional	AA	$229.09	$229.09	$229.09
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $112.20 / $117.49 / $269.15	Professional	QZ	$112.20	$117.49	$269.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $57.54 / $112.20	Facility		$44.67	$57.54	$112.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $407.38 / $501.19	Professional		$371.54	$407.38	$501.19
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $416.87 / $416.87 / $524.81	Professional	AA	$416.87	$416.87	$524.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $3,388.44 / $3,467.37	Facility		$416.87	$3,388.44	$3,467.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $64.57 / $1,348.96	Professional		$48.98	$64.57	$1,348.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.89 / $22.91	Professional		$5.01	$5.89	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $61.66 / $81.28	Professional		$46.77	$61.66	$81.28