Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility	QK	$1,258.93	$1,258.93	$1,258.93
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Facility	QX	$2,041.74	$2,041.74	$2,041.74
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $316.23 / $316.23 / $316.23	Professional	AA	$316.23	$316.23	$316.23
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $323.59 / $426.58 / $1,096.48	Professional	AA	$323.59	$426.58	$1,096.48
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $363.08 / $407.38 / $1,174.90	Professional	QZ	$363.08	$407.38	$1,174.90
BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $371.54 / $602.56 / $812.83	Professional	AA	$371.54	$602.56	$812.83
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $239.88 / $416.87 / $645.65	Professional	QZ	$239.88	$416.87	$645.65