Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $602.56 / $891.25 / $1,148.15	Facility	QK	$602.56	$891.25	$1,148.15
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $977.24 / $1,000.00 / $1,905.46	Facility	QX	$977.24	$1,000.00	$1,905.46
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $190.55 / $933.25 / $2,089.30	Professional	AA	$190.55	$933.25	$2,089.30
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $426.58 / $426.58 / $426.58	Professional	QZ	$426.58	$426.58	$426.58
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $218.78 / $257.04 / $645.65	Professional	AA	$218.78	$257.04	$645.65
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $199.53 / $263.03 / $302.00	Professional	QZ	$199.53	$263.03	$302.00
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