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 / $1,122.02	Facility	QK	$645.65	$645.65	$1,122.02
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $933.25 / $933.25 / $1,071.52	Facility	QX	$933.25	$933.25	$1,071.52
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $186.21 / $912.01 / $1,412.54	Professional	AA	$186.21	$912.01	$1,412.54
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $776.25 / $891.25 / $891.25	Professional	QZ	$776.25	$891.25	$891.25
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $169.82 / $169.82 / $199.53	Professional	AA	$169.82	$169.82	$199.53
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $141.25 / $199.53 / $407.38	Professional	QZ	$141.25	$199.53	$407.38
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