Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $2,324.00 / $2,324.00 / $2,324.00	Facility	QX	$2,324.00	$2,324.00	$2,324.00
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $244.90 / $587.33 / $1,887.00	Professional	AA	$244.90	$587.33	$1,887.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $276.92 / $808.01 / $808.01	Professional	AA	$276.92	$808.01	$808.01
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $340.22 / $340.22 / $969.00	Professional	QZ	$340.22	$340.22	$969.00
BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $175.00 / $292.50 / $425.90	Professional	AA	$175.00	$292.50	$425.90
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $140.00 / $200.00 / $302.50	Professional	QZ	$140.00	$200.00	$302.50