Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $1,079.50 / $1,079.50 / $1,079.50	Facility	QK	$1,079.50	$1,079.50	$1,079.50
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $1,778.00 / $1,778.00 / $1,778.00	Facility	QX	$1,778.00	$1,778.00	$1,778.00
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $587.33 / $587.33 / $587.33	Professional	AA	$587.33	$587.33	$587.33
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $612.00 / $612.00 / $612.00	Professional	QZ	$612.00	$612.00	$612.00
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