Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $1,778.28 / $3,311.31	Facility		$33.11	$1,778.28	$3,311.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.86 / $741.31	Professional		$30.20	$47.86	$741.31
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $389.05 / $776.25 / $2,238.72	Professional	AA	$389.05	$776.25	$2,238.72
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $218.78 / $426.58 / $549.54	Professional	QX	$218.78	$426.58	$549.54
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $218.78 / $295.12 / $489.78	Professional	QY	$218.78	$295.12	$489.78
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $173.78 / $173.78 / $173.78	Professional	QZ	$173.78	$173.78	$173.78
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $1,348.96	Professional		$398.11	$398.11	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $478.63 / $676.08	Professional		$288.40	$478.63	$676.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $478.63 / $794.33	Professional		$131.83	$478.63	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $70.79 / $109.65	Professional		$52.48	$70.79	$109.65