Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $537.54 / $537.54 / $537.54	Facility	QK	$537.54	$537.54	$537.54
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $442.68 / $442.68 / $757.12	Facility	QX	$442.68	$442.68	$757.12
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $225.42 / $225.42 / $225.42	Facility	QY	$225.42	$225.42	$225.42
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $359.04 / $359.04 / $1,077.33	Professional	QZ	$359.04	$359.04	$1,077.33
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $170.11 / $318.95 / $561.00	Professional	QZ	$170.11	$318.95	$561.00
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $168.00 / $240.00 / $363.00	Professional	QZ	$168.00	$240.00	$363.00