Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $4,785.84 / $4,785.84 / $4,785.84	Facility	QK	$4,785.84	$4,785.84	$4,785.84
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $826.34 / $826.34 / $826.34	Facility	QX	$826.34	$826.34	$826.34
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,887.00 / $1,887.00 / $1,887.00	Professional	AA	$1,887.00	$1,887.00	$1,887.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $404.01 / $404.01 / $404.01	Professional	AA	$404.01	$404.01	$404.01
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $446.53 / $467.80 / $1,173.00	Professional	QZ	$446.53	$467.80	$1,173.00
BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $280.00 / $468.00 / $681.44	Professional	AA	$280.00	$468.00	$681.44
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $224.00 / $320.00 / $484.00	Professional	QZ	$224.00	$320.00	$484.00