Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $101.95 / $648.98 / $5,040.00	Professional	AA	$101.95	$648.98	$5,040.00
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $263.92 / $263.92 / $263.92	Professional	QX	$263.92	$263.92	$263.92
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $102.23 / $180.67 / $945.00	Professional	QZ	$102.23	$180.67	$945.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $99.05 / $99.05 / $110.00	Professional	QZ	$99.05	$99.05	$110.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,799.99 / $68,899.99 / $81,099.99	Facility		$56,799.99	$68,899.99	$81,099.99
Providence Facility/Professional Professional Modifier QX Low / Median / High Price $175.00 / $195.58 / $202.50	Professional	QX	$175.00	$195.58	$202.50
Providence Facility/Professional Professional Modifier QY Low / Median / High Price $175.00 / $195.58 / $202.50	Professional	QY	$175.00	$195.58	$202.50