Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $167.47 / $167.47 / $167.47	Facility	QX	$167.47	$167.47	$167.47
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $168.13 / $421.34 / $1,540.00	Professional	AA	$168.13	$421.34	$1,540.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $302.39 / $408.00 / $1,022.56	Professional	QZ	$302.39	$408.00	$1,022.56
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $178.02 / $255.16 / $467.80	Professional	AA	$178.02	$255.16	$467.80
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $148.84 / $255.16 / $1,000.00	Professional	QZ	$148.84	$255.16	$1,000.00
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