Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $257.04 / $891.25	Facility		$44.67	$257.04	$891.25
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $354.81 / $512.86 / $954.99	Professional	AA	$354.81	$512.86	$954.99
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $169.82 / $288.40 / $436.52	Professional	QK	$169.82	$288.40	$436.52
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $134.90 / $309.03 / $467.74	Professional	QX	$134.90	$309.03	$467.74
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $234.42 / $295.12 / $398.11	Professional	QY	$234.42	$295.12	$398.11
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $275.42 / $446.68 / $602.56	Professional	QZ	$275.42	$446.68	$602.56
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $117.49 / $134.90 / $389.05	Professional	AA	$117.49	$134.90	$389.05
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $60.26 / $74.13 / $91.20	Professional	QK	$60.26	$74.13	$91.20
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $58.88 / $70.79 / $89.13	Professional	QX	$58.88	$70.79	$89.13
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $63.10 / $63.10 / $63.10	Professional	QY	$63.10	$63.10	$63.10
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $120.23 / $141.25 / $309.03	Professional	QZ	$120.23	$141.25	$309.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Facility		$0.02	$0.02	$0.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43