Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $239.88 / $363.08	Facility		$39.81	$239.88	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $41.69 / $537.03	Professional		$32.36	$41.69	$537.03
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $295.12 / $512.86 / $575.44	Professional	QX	$295.12	$512.86	$575.44
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 $120.23 / $134.90 / $346.74	Professional	QZ	$120.23	$134.90	$346.74
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 $112.20 / $117.49 / $141.25	Professional	QZ	$112.20	$117.49	$141.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $309.03 / $363.08	Professional		$234.42	$309.03	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $275.42 / $371.54	Professional		$199.53	$275.42	$371.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $1,584.89 / $2,344.23	Facility		$81.28	$1,584.89	$2,344.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $52.48 / $1,348.96	Professional		$46.77	$52.48	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $64.57	Professional		$44.67	$50.12	$64.57