Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility	QK	$1,023.29	$1,023.29	$1,023.29
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility	QX	$1,698.24	$1,698.24	$1,698.24
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $234.42 / $933.25 / $1,071.52	Professional	AA	$234.42	$933.25	$1,071.52
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $398.11 / $660.69 / $954.99	Professional	QX	$398.11	$660.69	$954.99
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $537.03 / $812.83 / $891.25	Professional	QY	$537.03	$812.83	$891.25
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional	QZ	$1,000.00	$1,000.00	$1,000.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $213.80 / $213.80 / $354.81	Professional	AA	$213.80	$213.80	$354.81
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $104.71 / $199.53 / $812.83	Professional	QX	$104.71	$199.53	$812.83
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $154.88 / $154.88 / $154.88	Professional	QY	$154.88	$154.88	$154.88
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $158.49 / $162.18 / $234.42	Professional	QZ	$158.49	$162.18	$234.42
BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $186.21 / $302.00 / $407.38	Professional	AA	$186.21	$302.00	$407.38
BCBS Facility/Professional Professional Modifier QX Low / Median / High Price $50.12 / $104.71 / $190.55	Professional	QX	$50.12	$104.71	$190.55
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $120.23 / $208.93 / $323.59	Professional	QZ	$120.23	$208.93	$323.59