Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.00 / $61.00 / $61.00	Facility		$61.00	$61.00	$61.00
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $490.50 / $490.50 / $490.50	Facility	QZ	$490.50	$490.50	$490.50
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $121.25 / $121.25 / $566.02	Professional	AA	$121.25	$121.25	$566.02
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $204.40 / $205.40 / $259.72	Professional	QK	$204.40	$205.40	$259.72
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $70.81 / $176.80 / $194.36	Professional	QX	$70.81	$176.80	$194.36
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $118.00 / $330.40 / $375.20	Professional	QZ	$118.00	$330.40	$375.20
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $136.57 / $136.57 / $136.57	Professional	AA	$136.57	$136.57	$136.57
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $57.93 / $78.04 / $127.93	Professional	QK	$57.93	$78.04	$127.93
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $67.59 / $104.27 / $144.18	Professional	QX	$67.59	$104.27	$144.18
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $67.59 / $115.14 / $325.00	Professional	QY	$67.59	$115.14	$325.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $124.38 / $162.19 / $234.70	Professional	QZ	$124.38	$162.19	$234.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.91 / $38.49 / $51.96	Facility		$31.91	$38.49	$51.96