Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $574.60 / $574.60 / $1,491.24	Facility	QK	$574.60	$574.60	$1,491.24
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $473.20 / $473.20 / $1,228.08	Facility	QX	$473.20	$473.20	$1,228.08
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,033.26 / $1,260.00 / $2,012.80	Professional	AA	$1,033.26	$1,260.00	$2,012.80
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $470.40 / $470.40 / $623.70	Professional	QZ	$470.40	$470.40	$623.70
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $415.38 / $425.27 / $425.27	Professional	AA	$415.38	$425.27	$425.27
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $233.90 / $233.90 / $612.00	Professional	QZ	$233.90	$233.90	$612.00
BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $210.00 / $351.00 / $511.08	Professional	AA	$210.00	$351.00	$511.08
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $168.00 / $240.00 / $363.00	Professional	QZ	$168.00	$240.00	$363.00