Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $588.84 / $588.84 / $645.65	Facility	QK	$588.84	$588.84	$645.65
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $676.08 / $676.08 / $977.24	Facility	QX	$676.08	$676.08	$977.24
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $141.25 / $1,000.00 / $1,445.44	Professional	AA	$141.25	$1,000.00	$1,445.44
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $776.25 / $831.76 / $954.99	Professional	QZ	$776.25	$831.76	$954.99
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $120.23 / $199.53 / $457.09	Professional	AA	$120.23	$199.53	$457.09
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $158.49 / $234.42 / $354.81	Professional	QZ	$158.49	$234.42	$354.81
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