Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $875.00 / $875.00 / $972.40	Facility	QK	$875.00	$875.00	$972.40
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $706.16 / $706.16 / $1,601.60	Facility	QX	$706.16	$706.16	$1,601.60
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $412.83 / $730.80 / $1,960.00	Professional	AA	$412.83	$730.80	$1,960.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $715.20 / $715.20 / $1,301.44	Professional	QZ	$715.20	$715.20	$1,301.44
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $257.14 / $257.14 / $257.14	Professional	AA	$257.14	$257.14	$257.14
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $212.64 / $212.64 / $663.00	Professional	QZ	$212.64	$212.64	$663.00
BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $175.00 / $292.50 / $425.90	Professional	AA	$175.00	$292.50	$425.90
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $140.00 / $200.00 / $302.50	Professional	QZ	$140.00	$200.00	$302.50