Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $954.99 / $954.99 / $954.99	Facility	AA	$954.99	$954.99	$954.99
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $302.00 / $371.54 / $933.25	Facility	QK	$302.00	$371.54	$933.25
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $309.03 / $489.78 / $977.24	Facility	QX	$309.03	$489.78	$977.24
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $416.87 / $416.87 / $416.87	Facility	QY	$416.87	$416.87	$416.87
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $257.04 / $549.54 / $1,174.90	Professional	AA	$257.04	$549.54	$1,174.90
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $234.42 / $446.68 / $645.65	Professional	QZ	$234.42	$446.68	$645.65
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $117.49 / $141.25 / $436.52	Professional	AA	$117.49	$141.25	$436.52
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $100.00 / $162.18 / $354.81	Professional	QZ	$100.00	$162.18	$354.81
BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $112.20 / $181.97 / $245.47	Professional	AA	$112.20	$181.97	$245.47
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $70.79 / $125.89 / $194.98	Professional	QZ	$70.79	$125.89	$194.98