Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $1,158.04 / $1,158.04 / $1,158.04	Facility	QK	$1,158.04	$1,158.04	$1,158.04
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $1,907.36 / $1,907.36 / $1,907.36	Facility	QX	$1,907.36	$1,907.36	$1,907.36
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,960.00 / $1,960.00 / $1,960.00	Professional	AA	$1,960.00	$1,960.00	$1,960.00
BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $105.00 / $175.50 / $255.54	Professional	AA	$105.00	$175.50	$255.54
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $84.00 / $120.00 / $181.50	Professional	QZ	$84.00	$120.00	$181.50