Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $309.03 / $851.14	Facility		$47.86	$309.03	$851.14
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $186.21 / $512.86 / $977.24	Professional	AA	$186.21	$512.86	$977.24
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $95.50 / $309.03 / $501.19	Professional	QK	$95.50	$309.03	$501.19
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $97.72 / $302.00 / $537.03	Professional	QX	$97.72	$302.00	$537.03
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $190.55 / $309.03 / $416.87	Professional	QY	$190.55	$309.03	$416.87
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $123.03 / $416.87 / $616.60	Professional	QZ	$123.03	$416.87	$616.60
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $138.04 / $162.18 / $354.81	Professional	AA	$138.04	$162.18	$354.81
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $69.18 / $81.28 / $104.71	Professional	QK	$69.18	$81.28	$104.71
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $67.61 / $81.28 / $104.71	Professional	QX	$67.61	$81.28	$104.71
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $67.61 / $72.44 / $93.33	Professional	QY	$67.61	$72.44	$93.33
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $120.23 / $144.54 / $354.81	Professional	QZ	$120.23	$144.54	$354.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Facility		$0.02	$0.02	$0.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $120.23	Facility		$79.43	$79.43	$120.23