Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $929.17 / $929.17 / $929.17	Facility	AA	$929.17	$929.17	$929.17
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $216.13 / $216.13 / $216.13	Facility	QX	$216.13	$216.13	$216.13
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $410.74 / $589.66 / $770.86	Professional	AA	$410.74	$589.66	$770.86
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $121.39 / $334.60 / $457.43	Professional	QK	$121.39	$334.60	$457.43
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $275.31 / $336.35 / $457.43	Professional	QX	$275.31	$336.35	$457.43
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $98.57 / $344.66 / $780.68	Professional	QY	$98.57	$344.66	$780.68
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $399.17 / $606.27 / $838.63	Professional	QZ	$399.17	$606.27	$838.63
Anthem BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $450.00 / $463.00 / $463.00	Professional	AA	$450.00	$463.00	$463.00
Anthem BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $450.00 / $463.00 / $463.00	Professional	QZ	$450.00	$463.00	$463.00