Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $645.32 / $645.32 / $813.45	Facility	QK	$645.32	$645.32	$813.45
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $630.00 / $646.79 / $972.16	Facility	QX	$630.00	$646.79	$972.16
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $849.66 / $849.66 / $849.66	Facility	QY	$849.66	$849.66	$849.66
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $285.14 / $370.27 / $1,294.08	Professional	AA	$285.14	$370.27	$1,294.08
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $306.00 / $345.60 / $1,022.56	Professional	QZ	$306.00	$345.60	$1,022.56
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $178.02 / $191.37 / $197.80	Professional	AA	$178.02	$191.37	$197.80
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $212.64 / $356.04 / $1,400.00	Professional	QZ	$212.64	$356.04	$1,400.00
BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $175.00 / $292.50 / $425.90	Professional	AA	$175.00	$292.50	$425.90
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $140.00 / $200.00 / $302.50	Professional	QZ	$140.00	$200.00	$302.50