Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $524.81 / $741.31 / $1,000.00	Facility	QK	$524.81	$741.31	$1,000.00
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $436.52 / $436.52 / $616.60	Facility	QX	$436.52	$436.52	$616.60
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $457.09 / $676.08 / $1,174.90	Professional	AA	$457.09	$676.08	$1,174.90
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $346.74 / $537.03 / $758.58	Professional	QZ	$346.74	$537.03	$758.58
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $158.49 / $177.83 / $407.38	Professional	AA	$158.49	$177.83	$407.38
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $134.90 / $218.78 / $354.81	Professional	QZ	$134.90	$218.78	$354.81
BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $147.91 / $245.47 / $323.59	Professional	AA	$147.91	$245.47	$323.59
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $95.50 / $165.96 / $263.03	Professional	QZ	$95.50	$165.96	$263.03