Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $1,827.84 / $1,827.84 / $1,827.84	Facility	QX	$1,827.84	$1,827.84	$1,827.84
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $1,394.40 / $1,394.40 / $1,394.40	Professional	QZ	$1,394.40	$1,394.40	$1,394.40
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $613.17 / $744.22 / $744.22	Professional	AA	$613.17	$744.22	$744.22
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $340.22 / $340.22 / $340.22	Professional	QZ	$340.22	$340.22	$340.22
BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $280.00 / $468.00 / $681.44	Professional	AA	$280.00	$468.00	$681.44
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $224.00 / $320.00 / $484.00	Professional	QZ	$224.00	$320.00	$484.00