Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $630.96 / $630.96 / $630.96	Facility	QX	$630.96	$630.96	$630.96
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $676.08 / $1,148.15 / $2,089.30	Professional	AA	$676.08	$1,148.15	$2,089.30
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $380.19 / $645.65 / $954.99	Professional	QX	$380.19	$645.65	$954.99
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $416.87 / $549.54 / $831.76	Professional	QY	$416.87	$549.54	$831.76
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $177.83 / $426.58 / $933.25	Professional	QZ	$177.83	$426.58	$933.25
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $162.18 / $407.38 / $1,047.13	Professional	AA	$162.18	$407.38	$1,047.13
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $100.00 / $134.90 / $323.59	Professional	QX	$100.00	$134.90	$323.59
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $186.21 / $186.21 / $186.21	Professional	QY	$186.21	$186.21	$186.21
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $199.53 / $389.05 / $707.95	Professional	QZ	$199.53	$389.05	$707.95
BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $186.21 / $302.00 / $407.38	Professional	AA	$186.21	$302.00	$407.38
BCBS Facility/Professional Professional Modifier QX Low / Median / High Price $50.12 / $104.71 / $190.55	Professional	QX	$50.12	$104.71	$190.55
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $120.23 / $208.93 / $323.59	Professional	QZ	$120.23	$208.93	$323.59