Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $601.12 / $601.12 / $893.01	Facility	QK	$601.12	$601.12	$893.01
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $990.08 / $990.08 / $2,884.00	Facility	QX	$990.08	$990.08	$2,884.00
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $189.89 / $862.40 / $1,540.00	Professional	AA	$189.89	$862.40	$1,540.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $428.40 / $428.40 / $428.40	Professional	QZ	$428.40	$428.40	$428.40
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $158.24 / $158.24 / $158.24	Professional	AA	$158.24	$158.24	$158.24
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $240.72 / $240.72 / $510.00	Professional	QZ	$240.72	$240.72	$510.00
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