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 Professional Modifier AA Low / Median / High Price $389.58 / $389.58 / $389.58	Professional	AA	$389.58	$389.58	$389.58
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $95.08 / $288.95 / $375.20	Professional	QZ	$95.08	$288.95	$375.20
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $156.08 / $156.08 / $156.08	Professional	AA	$156.08	$156.08	$156.08
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $48.28 / $76.76 / $99.01	Professional	QK	$48.28	$76.76	$99.01
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $48.28 / $60.83 / $237.50	Professional	QX	$48.28	$60.83	$237.50
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $97.55 / $124.38 / $216.27	Professional	QZ	$97.55	$124.38	$216.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.91 / $38.49 / $51.96	Facility		$31.91	$38.49	$51.96