Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $37.20 / $320.00	Facility		$30.00	$37.20	$320.00
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $357.00 / $357.00 / $823.65	Facility	QK	$357.00	$357.00	$823.65
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $294.00 / $314.16 / $532.00	Facility	QX	$294.00	$314.16	$532.00
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $198.75 / $954.88 / $2,051.96	Professional	AA	$198.75	$954.88	$2,051.96
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $183.01 / $662.16 / $967.77	Professional	QK	$183.01	$662.16	$967.77
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $239.40 / $627.65 / $1,351.85	Professional	QX	$239.40	$627.65	$1,351.85
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $206.32 / $206.32 / $206.32	Professional	QZ	$206.32	$206.32	$206.32
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $217.58 / $255.16 / $389.47	Professional	AA	$217.58	$255.16	$389.47
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $95.69 / $178.02 / $288.00	Professional	QK	$95.69	$178.02	$288.00
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $89.01 / $178.02 / $288.00	Professional	QX	$89.01	$178.02	$288.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $233.90 / $356.04 / $391.64	Professional	QZ	$233.90	$356.04	$391.64
BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $245.00 / $409.50 / $596.26	Professional	AA	$245.00	$409.50	$596.26
BCBS Facility/Professional Professional Modifier QX Low / Median / High Price $69.23 / $122.50 / $264.67	Professional	QX	$69.23	$122.50	$264.67
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $196.00 / $280.00 / $423.50	Professional	QZ	$196.00	$280.00	$423.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $1,950.00 / $3,000.00	Facility		$30.00	$1,950.00	$3,000.00