Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $317.89 / $317.89 / $645.15	Facility	QK	$317.89	$317.89	$645.15
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $523.60 / $523.60 / $766.58	Facility	QX	$523.60	$523.60	$766.58
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $319.20 / $844.07 / $1,635.40	Professional	AA	$319.20	$844.07	$1,635.40
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $313.70 / $696.00 / $1,175.28	Professional	QZ	$313.70	$696.00	$1,175.28
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $158.24 / $233.90 / $395.60	Professional	AA	$158.24	$233.90	$395.60
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $148.84 / $276.43 / $612.00	Professional	QZ	$148.84	$276.43	$612.00
BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $175.00 / $292.50 / $425.90	Professional	AA	$175.00	$292.50	$425.90
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $140.00 / $200.00 / $302.50	Professional	QZ	$140.00	$200.00	$302.50