Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $439.45 / $601.12 / $1,514.70	Facility	QK	$439.45	$601.12	$1,514.70
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $785.40 / $831.60 / $1,247.40	Facility	QX	$785.40	$831.60	$1,247.40
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $1,009.80 / $1,009.80 / $1,009.80	Facility	QY	$1,009.80	$1,009.80	$1,009.80
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $276.64 / $600.82 / $1,190.25	Professional	AA	$276.64	$600.82	$1,190.25
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $118.68 / $158.24 / $255.16	Professional	AA	$118.68	$158.24	$255.16
BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $105.00 / $175.50 / $255.54	Professional	AA	$105.00	$175.50	$255.54