Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.00 / $61.00 / $61.00	Facility		$61.00	$61.00	$61.00
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $109.26 / $109.26 / $172.00	Professional	QK	$109.26	$109.26	$172.00
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $93.19 / $93.19 / $760.88	Professional	QX	$93.19	$93.19	$760.88
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $19.30 / $140.72 / $179.10	Professional	QK	$19.30	$140.72	$179.10
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $101.38 / $140.72 / $191.86	Professional	QX	$101.38	$140.72	$191.86
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $160.72 / $223.03 / $243.31	Professional	QZ	$160.72	$223.03	$243.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.91 / $38.49 / $51.96	Facility		$31.91	$38.49	$51.96