Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $37.15 / $323.59	Facility		$25.12	$37.15	$323.59
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $354.81 / $354.81 / $831.76	Facility	QK	$354.81	$354.81	$831.76
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $295.12 / $316.23 / $537.03	Facility	QX	$295.12	$316.23	$537.03
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $199.53 / $977.24 / $2,041.74	Professional	AA	$199.53	$977.24	$2,041.74
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $346.74 / $588.84 / $891.25	Professional	QK	$346.74	$588.84	$891.25
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $331.13 / $575.44 / $891.25	Professional	QX	$331.13	$575.44	$891.25
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $151.36 / $162.18 / $954.99	Professional	QZ	$151.36	$162.18	$954.99
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $177.83 / $257.04 / $1,047.13	Professional	AA	$177.83	$257.04	$1,047.13
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $91.20 / $158.49 / $446.68	Professional	QK	$91.20	$158.49	$446.68
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $109.65 / $154.88 / $426.58	Professional	QX	$109.65	$154.88	$426.58
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $181.97 / $263.03 / $660.69	Professional	QZ	$181.97	$263.03	$660.69
BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $257.04 / $426.58 / $575.44	Professional	AA	$257.04	$426.58	$575.44
BCBS Facility/Professional Professional Modifier QX Low / Median / High Price $70.79 / $147.91 / $269.15	Professional	QX	$70.79	$147.91	$269.15
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $165.96 / $295.12 / $457.09	Professional	QZ	$165.96	$295.12	$457.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $2,570.40 / $5,623.41	Facility		$50.12	$2,570.40	$5,623.41