Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $225.00 / $275.00	Facility		$45.00	$225.00	$275.00
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $700.00 / $980.00 / $2,380.00	Professional	AA	$700.00	$980.00	$2,380.00
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $173.25 / $214.20 / $346.50	Professional	QK	$173.25	$214.20	$346.50
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $138.32 / $192.15 / $595.35	Professional	QX	$138.32	$192.15	$595.35
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $163.80 / $185.85 / $214.20	Professional	QY	$163.80	$185.85	$214.20
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $291.20 / $338.00 / $409.50	Professional	QZ	$291.20	$338.00	$409.50
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $98.50 / $100.30 / $156.08	Professional	AA	$98.50	$100.30	$156.08
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $70.04 / $70.04 / $70.20	Professional	QK	$70.04	$70.04	$70.20
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $52.73 / $70.04 / $127.50	Professional	QX	$52.73	$70.04	$127.50
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $99.45 / $119.34 / $255.00	Professional	QZ	$99.45	$119.34	$255.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $0.03	Facility		$0.02	$0.03	$0.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $72.90 / $72.90 / $72.90	Facility		$72.90	$72.90	$72.90