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 QZ Low / Median / High Price $99.58 / $155.77 / $341.60	Professional	QZ	$99.58	$155.77	$341.60
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $117.06 / $117.06 / $117.06	Professional	AA	$117.06	$117.06	$117.06
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $57.93 / $102.34 / $292.50	Professional	QK	$57.93	$102.34	$292.50
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $32.50 / $90.41 / $153.49	Professional	QX	$32.50	$90.41	$153.49
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $76.76 / $76.76 / $422.50	Professional	QY	$76.76	$76.76	$422.50
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $118.74 / $158.32 / $360.45	Professional	QZ	$118.74	$158.32	$360.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.91 / $38.49 / $51.96	Facility		$31.91	$38.49	$51.96