Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $426.58 / $426.58 / $512.86	Professional	AA	$426.58	$426.58	$512.86
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $245.47 / $380.19 / $537.03	Professional	QX	$245.47	$380.19	$537.03
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $269.15 / $389.05 / $389.05	Professional	QY	$269.15	$389.05	$389.05
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $72.44 / $79.43 / $269.15	Professional	QZ	$72.44	$79.43	$269.15
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $79.43 / $79.43 / $79.43	Professional	AA	$79.43	$79.43	$79.43
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $52.48 / $52.48 / $52.48	Professional	QX	$52.48	$52.48	$52.48
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $81.28 / $102.33 / $323.59	Professional	QZ	$81.28	$102.33	$323.59
BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $112.20 / $181.97 / $245.47	Professional	AA	$112.20	$181.97	$245.47
BCBS Facility/Professional Professional Modifier QX Low / Median / High Price $30.20 / $63.10 / $114.82	Professional	QX	$30.20	$63.10	$114.82
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $70.79 / $125.89 / $194.98	Professional	QZ	$70.79	$125.89	$194.98