Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $564.05 / $564.05 / $564.05	Facility	QX	$564.05	$564.05	$564.05
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $412.83 / $412.83 / $1,438.20	Professional	AA	$412.83	$412.83	$1,438.20
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $472.50 / $548.10 / $1,371.16	Professional	QZ	$472.50	$548.10	$1,371.16
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $212.64 / $336.26 / $361.48	Professional	AA	$212.64	$336.26	$361.48
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $170.11 / $170.11 / $255.16	Professional	QZ	$170.11	$170.11	$255.16
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