Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $429.16 / $429.16 / $509.36	Professional	AA	$429.16	$429.16	$509.36
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $87.96 / $99.49 / $480.25	Professional	QX	$87.96	$99.49	$480.25
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $384.80 / $384.80 / $384.80	Professional	QY	$384.80	$384.80	$384.80
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $72.23 / $80.20 / $270.89	Professional	QZ	$72.23	$80.20	$270.89
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $204.00 / $204.00 / $204.00	Professional	QZ	$204.00	$204.00	$204.00
BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $105.00 / $175.50 / $255.54	Professional	AA	$105.00	$175.50	$255.54
BCBS Facility/Professional Professional Modifier QX Low / Median / High Price $29.67 / $52.50 / $113.43	Professional	QX	$29.67	$52.50	$113.43
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $84.00 / $120.00 / $181.50	Professional	QZ	$84.00	$120.00	$181.50