Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $338.84 / $338.84 / $426.58	Facility	QK	$338.84	$338.84	$426.58
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $275.42 / $275.42 / $660.69	Facility	QX	$275.42	$275.42	$660.69
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $309.03 / $851.14 / $1,412.54	Professional	AA	$309.03	$851.14	$1,412.54
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $281.84 / $436.52 / $645.65	Professional	QK	$281.84	$436.52	$645.65
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $288.40 / $436.52 / $812.83	Professional	QX	$288.40	$436.52	$812.83
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $316.23 / $436.52 / $645.65	Professional	QY	$316.23	$436.52	$645.65
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $331.13 / $537.03 / $776.25	Professional	QZ	$331.13	$537.03	$776.25
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $141.25 / $190.55 / $354.81	Professional	AA	$141.25	$190.55	$354.81
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $83.18 / $107.15 / $323.59	Professional	QK	$83.18	$107.15	$323.59
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $70.79 / $112.20 / $295.12	Professional	QX	$70.79	$112.20	$295.12
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $85.11 / $97.72 / $234.42	Professional	QY	$85.11	$97.72	$234.42
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $138.04 / $162.18 / $457.09	Professional	QZ	$138.04	$162.18	$457.09
BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $186.21 / $302.00 / $407.38	Professional	AA	$186.21	$302.00	$407.38
BCBS Facility/Professional Professional Modifier QX Low / Median / High Price $50.12 / $104.71 / $190.55	Professional	QX	$50.12	$104.71	$190.55
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $120.23 / $208.93 / $323.59	Professional	QZ	$120.23	$208.93	$323.59