Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $257.04 / $257.04 / $257.04	Facility	QK	$257.04	$257.04	$257.04
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $47.86 / $47.86 / $47.86	Facility	QX	$47.86	$47.86	$47.86
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $97.72 / $239.88 / $758.58	Professional	AA	$97.72	$239.88	$758.58
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $213.80 / $234.42 / $562.34	Professional	QZ	$213.80	$234.42	$562.34
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $128.82 / $144.54 / $218.78	Professional	QZ	$128.82	$144.54	$218.78
BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $147.91 / $245.47 / $323.59	Professional	AA	$147.91	$245.47	$323.59
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $95.50 / $165.96 / $263.03	Professional	QZ	$95.50	$165.96	$263.03