Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $575.44 / $575.44 / $3,981.07	Facility	QK	$575.44	$575.44	$3,981.07
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $478.63 / $478.63 / $3,311.31	Facility	QX	$478.63	$478.63	$3,311.31
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $812.83 / $1,071.52 / $3,019.95	Professional	AA	$812.83	$1,071.52	$3,019.95
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $467.74 / $467.74 / $616.60	Professional	QZ	$467.74	$467.74	$616.60
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $194.98 / $354.81 / $1,380.38	Professional	AA	$194.98	$354.81	$1,380.38
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $194.98 / $223.87 / $512.86	Professional	QZ	$194.98	$223.87	$512.86
BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $223.87 / $363.08 / $489.78	Professional	AA	$223.87	$363.08	$489.78
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $141.25 / $251.19 / $389.05	Professional	QZ	$141.25	$251.19	$389.05