Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $147.61 / $980.00 / $1,540.00	Professional	AA	$147.61	$980.00	$1,540.00
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $224.00 / $268.24 / $268.24	Professional	QK	$224.00	$268.24	$268.24
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $187.50 / $187.50 / $187.50	Professional	QX	$187.50	$187.50	$187.50
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $181.63 / $335.50 / $792.00	Professional	QZ	$181.63	$335.50	$792.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $154.00 / $154.00 / $173.04	Professional	QZ	$154.00	$154.00	$173.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,799.99 / $68,899.99 / $81,099.99	Facility		$56,799.99	$68,899.99	$81,099.99
Providence Facility/Professional Professional Modifier QK Low / Median / High Price $175.00 / $195.58 / $202.50	Professional	QK	$175.00	$195.58	$202.50
Providence Facility/Professional Professional Modifier QX Low / Median / High Price $175.00 / $195.58 / $202.50	Professional	QX	$175.00	$195.58	$202.50
Providence Facility/Professional Professional Modifier QY Low / Median / High Price $175.00 / $195.58 / $202.50	Professional	QY	$175.00	$195.58	$202.50