Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $213.80 / $213.80 / $213.80	Facility	QX	$213.80	$213.80	$213.80
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $426.58 / $891.25 / $1,479.11	Professional	AA	$426.58	$891.25	$1,479.11
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $295.12 / $416.87 / $645.65	Professional	QK	$295.12	$416.87	$645.65
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $288.40 / $416.87 / $676.08	Professional	QX	$288.40	$416.87	$676.08
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $309.03 / $416.87 / $645.65	Professional	QY	$309.03	$416.87	$645.65
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $338.84 / $602.56 / $912.01	Professional	QZ	$338.84	$602.56	$912.01
Anthem BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $446.68 / $467.74 / $467.74	Professional	AA	$446.68	$467.74	$467.74
Anthem BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $446.68 / $467.74 / $467.74	Professional	QZ	$446.68	$467.74	$467.74