Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $965.33 / $965.33 / $965.33	Facility	AA	$965.33	$965.33	$965.33
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $320.42 / $372.81 / $935.00	Facility	QK	$320.42	$372.81	$935.00
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $307.02 / $693.00 / $970.20	Facility	QX	$307.02	$693.00	$970.20
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $420.75 / $420.75 / $420.75	Facility	QY	$420.75	$420.75	$420.75
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $126.94 / $387.30 / $1,680.00	Professional	AA	$126.94	$387.30	$1,680.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $160.69 / $273.60 / $650.72	Professional	QZ	$160.69	$273.60	$650.72
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $118.68 / $158.24 / $473.48	Professional	AA	$118.68	$158.24	$473.48
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $170.11 / $212.64 / $700.00	Professional	QZ	$170.11	$212.64	$700.00
BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $105.00 / $175.50 / $255.54	Professional	AA	$105.00	$175.50	$255.54
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $84.00 / $120.00 / $181.50	Professional	QZ	$84.00	$120.00	$181.50