Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $649.26 / $649.26 / $649.26	Facility	QK	$649.26	$649.26	$649.26
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $1,069.38 / $1,069.38 / $1,069.38	Facility	QX	$1,069.38	$1,069.38	$1,069.38
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,120.00 / $1,120.00 / $1,400.00	Professional	AA	$1,120.00	$1,120.00	$1,400.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $836.64 / $836.64 / $881.46	Professional	QZ	$836.64	$836.64	$881.46
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $178.02 / $178.02 / $178.02	Professional	AA	$178.02	$178.02	$178.02
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $212.64 / $408.00 / $1,000.00	Professional	QZ	$212.64	$408.00	$1,000.00
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