Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $389.05 / $2,691.53	Facility		$75.86	$389.05	$2,691.53
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $602.56 / $912.01 / $1,445.44	Facility	QZ	$602.56	$912.01	$1,445.44
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $363.08 / $588.84 / $954.99	Professional	AA	$363.08	$588.84	$954.99
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $229.09 / $338.84 / $467.74	Professional	QK	$229.09	$338.84	$467.74
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $162.18 / $331.13 / $478.63	Professional	QX	$162.18	$331.13	$478.63
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $245.47 / $295.12 / $398.11	Professional	QY	$245.47	$295.12	$398.11
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $407.38 / $562.34 / $724.44	Professional	QZ	$407.38	$562.34	$724.44
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $117.49 / $134.90 / $691.83	Professional	AA	$117.49	$134.90	$691.83
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $60.26 / $66.07 / $338.84	Professional	QK	$60.26	$66.07	$338.84
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $60.26 / $70.79 / $338.84	Professional	QX	$60.26	$70.79	$338.84
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $117.49 / $181.97 / $549.54	Professional	QZ	$117.49	$181.97	$549.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $57.54 / $112.20	Facility		$44.67	$57.54	$112.20
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $354.81 / $354.81 / $436.52	Professional	AA	$354.81	$354.81	$436.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $117.49 / $676.08	Facility		$43.65	$117.49	$676.08
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,737.80 / $1,737.80	Facility		$1,479.11	$1,737.80	$1,737.80