Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $530.40 / $742.56 / $994.98	Facility	QK	$530.40	$742.56	$994.98
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $436.80 / $611.52 / $819.39	Facility	QX	$436.80	$611.52	$819.39
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $263.87 / $911.97 / $1,400.00	Professional	AA	$263.87	$911.97	$1,400.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $316.80 / $384.00 / $783.52	Professional	QZ	$316.80	$384.00	$783.52
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $178.02 / $217.58 / $255.16	Professional	AA	$178.02	$217.58	$255.16
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $212.64 / $357.00 / $1,300.00	Professional	QZ	$212.64	$357.00	$1,300.00
BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $140.00 / $234.00 / $340.72	Professional	AA	$140.00	$234.00	$340.72
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $112.00 / $160.00 / $242.00	Professional	QZ	$112.00	$160.00	$242.00