Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $239.88 / $398.11	Facility		$44.67	$239.88	$398.11
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $144.54 / $380.19 / $831.76	Professional	AA	$144.54	$380.19	$831.76
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $83.18 / $295.12 / $407.38	Professional	QX	$83.18	$295.12	$407.38
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $251.19 / $269.15 / $331.13	Professional	QY	$251.19	$269.15	$331.13
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $125.89 / $380.19 / $537.03	Professional	QZ	$125.89	$380.19	$537.03
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $29.51 / $120.23 / $309.03	Professional	AA	$29.51	$120.23	$309.03
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $50.12 / $81.28 / $162.18	Professional	QX	$50.12	$81.28	$162.18
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $60.26 / $60.26 / $117.49	Professional	QY	$60.26	$60.26	$117.49
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $117.49 / $131.83 / $257.04	Professional	QZ	$117.49	$131.83	$257.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Facility		$0.02	$0.02	$0.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82