Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $436.52	Facility		$38.02	$38.02	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $44.67 / $467.74	Professional		$30.20	$44.67	$467.74
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $389.05 / $389.05 / $537.03	Professional	AA	$389.05	$389.05	$537.03
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 AA Low / Median / High Price $120.23 / $123.03 / $478.63	Professional	AA	$120.23	$123.03	$478.63
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $117.49 / $141.25 / $389.05	Professional	QZ	$117.49	$141.25	$389.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $269.15 / $436.52	Professional		$199.53	$269.15	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $338.84 / $457.09	Professional		$251.19	$338.84	$457.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $389.05 / $616.60	Professional		$288.40	$389.05	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $51.29 / $79.43	Professional		$38.02	$51.29	$79.43