Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $450.84 / $821.10 / $972.40	Facility	QK	$450.84	$821.10	$972.40
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $742.56 / $742.56 / $958.27	Facility	QX	$742.56	$742.56	$958.27
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $183.00 / $683.99 / $1,260.00	Professional	AA	$183.00	$683.99	$1,260.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $273.60 / $403.20 / $783.52	Professional	QZ	$273.60	$403.20	$783.52
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $118.68 / $191.37 / $255.16	Professional	AA	$118.68	$191.37	$255.16
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $170.11 / $249.23 / $800.00	Professional	QZ	$170.11	$249.23	$800.00
BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $105.00 / $175.50 / $255.54	Professional	AA	$105.00	$175.50	$255.54
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $84.00 / $120.00 / $181.50	Professional	QZ	$84.00	$120.00	$181.50