Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $2,819.60	Facility		$50.00	$50.00	$2,819.60
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $693.00 / $980.00 / $2,380.00	Professional	AA	$693.00	$980.00	$2,380.00
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $218.75 / $218.75 / $224.00	Professional	QK	$218.75	$218.75	$224.00
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $187.50 / $187.50 / $218.75	Professional	QX	$187.50	$187.50	$218.75
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $556.00 / $556.00 / $693.00	Professional	QZ	$556.00	$556.00	$693.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $99.05 / $99.05 / $99.05	Professional	QZ	$99.05	$99.05	$99.05
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