Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $259.83 / $259.83 / $259.83	Facility	QK	$259.83	$259.83	$259.83
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $98.25 / $242.59 / $980.00	Professional	AA	$98.25	$242.59	$980.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $216.00 / $235.20 / $557.76	Professional	QZ	$216.00	$235.20	$557.76
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $118.68 / $118.68 / $118.68	Professional	AA	$118.68	$118.68	$118.68
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $170.11 / $191.37 / $249.23	Professional	QZ	$170.11	$191.37	$249.23
BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $140.00 / $234.00 / $340.72	Professional	AA	$140.00	$234.00	$340.72
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $112.00 / $160.00 / $242.00	Professional	QZ	$112.00	$160.00	$242.00