Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $165.96 / $165.96 / $165.96	Facility	QX	$165.96	$165.96	$165.96
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $186.21 / $630.96 / $1,479.11	Professional	AA	$186.21	$630.96	$1,479.11
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $302.00 / $512.86 / $1,047.13	Professional	QZ	$302.00	$512.86	$1,047.13
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $138.04 / $218.78 / $524.81	Professional	AA	$138.04	$218.78	$524.81
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $141.25 / $275.42 / $512.86	Professional	QZ	$141.25	$275.42	$512.86
BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $112.20 / $181.97 / $245.47	Professional	AA	$112.20	$181.97	$245.47
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $70.79 / $125.89 / $194.98	Professional	QZ	$70.79	$125.89	$194.98