Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $77.62 / $724.44 / $1,174.90	Professional	AA	$77.62	$724.44	$1,174.90
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $269.15 / $389.05 / $537.03	Professional	QX	$269.15	$389.05	$537.03
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $269.15 / $269.15 / $389.05	Professional	QY	$269.15	$269.15	$389.05
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $549.54 / $549.54 / $549.54	Professional	AA	$549.54	$549.54	$549.54
Regence BlueShield Facility/Professional Professional Modifier QX Low / Median / High Price $107.15 / $128.82 / $158.49	Professional	QX	$107.15	$128.82	$158.49
Regence BlueShield Facility/Professional Professional Modifier QY Low / Median / High Price $107.15 / $128.82 / $158.49	Professional	QY	$107.15	$128.82	$158.49