Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $167.11 / $1,062.00 / $1,893.90	Professional	AA	$167.11	$1,062.00	$1,893.90
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $365.75 / $513.29 / $997.60	Professional	QX	$365.75	$513.29	$997.60
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $66.91 / $469.05 / $997.60	Professional	QY	$66.91	$469.05	$997.60
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $104.45 / $835.00 / $1,319.30	Professional	QZ	$104.45	$835.00	$1,319.30
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $75.26 / $75.26 / $75.26	Professional	QX	$75.26	$75.26	$75.26
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $143.36 / $143.36 / $143.36	Professional	QZ	$143.36	$143.36	$143.36
Highmark BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $378.00 / $378.00 / $1,167.59	Professional	AA	$378.00	$378.00	$1,167.59