Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $1,034.28 / $1,034.28 / $1,034.28	Facility	QK	$1,034.28	$1,034.28	$1,034.28
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $1,703.52 / $1,703.52 / $1,703.52	Facility	QX	$1,703.52	$1,703.52	$1,703.52
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $235.38 / $429.86 / $1,707.72	Professional	AA	$235.38	$429.86	$1,707.72
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $429.16 / $681.29 / $1,025.99	Professional	QX	$429.16	$681.29	$1,025.99
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $340.22 / $340.22 / $340.22	Professional	AA	$340.22	$340.22	$340.22
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $177.03 / $300.95 / $427.25	Professional	QX	$177.03	$300.95	$427.25
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $127.58 / $127.58 / $127.58	Professional	QY	$127.58	$127.58	$127.58
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $255.16 / $255.16 / $408.00	Professional	QZ	$255.16	$255.16	$408.00
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 QX Low / Median / High Price $49.45 / $87.50 / $189.05	Professional	QX	$49.45	$87.50	$189.05
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $140.00 / $200.00 / $302.50	Professional	QZ	$140.00	$200.00	$302.50