Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $141.25 / $831.76 / $1,096.48	Professional	AA	$141.25	$831.76	$1,096.48
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $213.80 / $338.84 / $562.34	Professional	QX	$213.80	$338.84	$562.34
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $239.88 / $288.40 / $416.87	Professional	QY	$239.88	$288.40	$416.87
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $128.82 / $363.08 / $562.34	Professional	QZ	$128.82	$363.08	$562.34
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $95.50 / $112.20 / $229.09	Professional	AA	$95.50	$112.20	$229.09
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $57.54 / $63.10 / $181.97	Professional	QX	$57.54	$63.10	$181.97
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $112.20 / $123.03 / $165.96	Professional	QZ	$112.20	$123.03	$165.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $38.90 / $52.48	Facility		$33.11	$38.90	$52.48