Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $316.23 / $316.23 / $645.65	Facility	QK	$316.23	$316.23	$645.65
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $524.81 / $524.81 / $758.58	Facility	QX	$524.81	$524.81	$758.58
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $489.78 / $1,000.00 / $1,862.09	Professional	AA	$489.78	$1,000.00	$1,862.09
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $204.17 / $812.83 / $1,047.13	Professional	QZ	$204.17	$812.83	$1,047.13
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $169.82 / $239.88 / $707.95	Professional	AA	$169.82	$239.88	$707.95
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $194.98 / $251.19 / $616.60	Professional	QZ	$194.98	$251.19	$616.60
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