Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $645.65 / $645.65 / $812.83	Facility	QK	$645.65	$645.65	$812.83
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $630.96 / $630.96 / $645.65	Facility	QX	$630.96	$630.96	$645.65
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $851.14 / $851.14 / $1,258.93	Facility	QY	$851.14	$851.14	$1,258.93
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $309.03 / $851.14 / $1,513.56	Professional	AA	$309.03	$851.14	$1,513.56
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $316.23 / $758.58 / $1,023.29	Professional	QZ	$316.23	$758.58	$1,023.29
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $177.83 / $213.80 / $645.65	Professional	AA	$177.83	$213.80	$645.65
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $144.54 / $213.80 / $457.09	Professional	QZ	$144.54	$213.80	$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 QZ Low / Median / High Price $120.23 / $208.93 / $323.59	Professional	QZ	$120.23	$208.93	$323.59