Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $360.00 / $440.00	Facility		$45.00	$360.00	$440.00
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,260.00 / $1,680.00 / $1,820.00	Professional	AA	$1,260.00	$1,680.00	$1,820.00
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $78.67 / $245.70 / $343.35	Professional	QK	$78.67	$245.70	$343.35
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $84.00 / $255.15 / $1,230.23	Professional	QX	$84.00	$255.15	$1,230.23
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $206.32 / $410.80 / $410.80	Professional	QZ	$206.32	$410.80	$410.80
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $303.49 / $303.49 / $1,495.00	Professional	AA	$303.49	$303.49	$1,495.00
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $97.55 / $105.05 / $150.44	Professional	QK	$97.55	$105.05	$150.44
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $94.91 / $105.05 / $128.40	Professional	QX	$94.91	$105.05	$128.40
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $159.12 / $210.11 / $280.14	Professional	QZ	$159.12	$210.11	$280.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $0.03	Facility		$0.02	$0.03	$0.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $91.90 / $91.90 / $91.90	Facility		$91.90	$91.90	$91.90