Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $225.00 / $275.00	Facility		$45.00	$225.00	$275.00
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $101.95 / $346.50 / $5,040.00	Professional	AA	$101.95	$346.50	$5,040.00
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $61.63 / $267.75 / $267.75	Professional	QX	$61.63	$267.75	$267.75
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $61.63 / $267.75 / $267.75	Professional	QY	$61.63	$267.75	$267.75
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $132.10 / $359.10 / $2,077.60	Professional	QZ	$132.10	$359.10	$2,077.60
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $73.81 / $116.73 / $127.50	Professional	QX	$73.81	$116.73	$127.50
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $105.05 / $105.05 / $105.05	Professional	QY	$105.05	$105.05	$105.05
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $117.06 / $119.34 / $326.83	Professional	QZ	$117.06	$119.34	$326.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $0.03	Facility		$0.02	$0.03	$0.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $129.60 / $129.60 / $129.60	Facility		$129.60	$129.60	$129.60