Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $446.68 / $812.83 / $977.24	Facility	QK	$446.68	$812.83	$977.24
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $707.95 / $707.95 / $741.31	Facility	QX	$707.95	$707.95	$741.31
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $363.08 / $660.69 / $1,258.93	Professional	AA	$363.08	$660.69	$1,258.93
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $309.03 / $501.19 / $794.33	Professional	QZ	$309.03	$501.19	$794.33
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $117.49 / $199.53 / $524.81	Professional	AA	$117.49	$199.53	$524.81
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $117.49 / $162.18 / $354.81	Professional	QZ	$117.49	$162.18	$354.81
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 QZ Low / Median / High Price $70.79 / $125.89 / $194.98	Professional	QZ	$70.79	$125.89	$194.98