Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $645.65 / $645.65 / $645.65	Facility	QK	$645.65	$645.65	$645.65
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility	QX	$1,096.48	$1,096.48	$1,096.48
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $660.69 / $660.69 / $660.69	Facility	QY	$660.69	$660.69	$660.69
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $512.86 / $870.96 / $1,584.89	Professional	AA	$512.86	$870.96	$1,584.89
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $338.84 / $724.44 / $891.25	Professional	QZ	$338.84	$724.44	$891.25
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $158.49 / $194.98 / $645.65	Professional	AA	$158.49	$194.98	$645.65
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $158.49 / $269.15 / $457.09	Professional	QZ	$158.49	$269.15	$457.09
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 QZ Low / Median / High Price $120.23 / $208.93 / $323.59	Professional	QZ	$120.23	$208.93	$323.59