Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility	QX	$1,819.70	$1,819.70	$1,819.70
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,659.59 / $2,344.23 / $2,511.89	Professional	AA	$1,659.59	$2,344.23	$2,511.89
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $537.03 / $660.69 / $1,380.38	Professional	AA	$537.03	$660.69	$1,380.38
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $812.83 / $812.83 / $1,380.38	Professional	QZ	$812.83	$812.83	$1,380.38
BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $295.12 / $489.78 / $645.65	Professional	AA	$295.12	$489.78	$645.65
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $190.55 / $331.13 / $524.81	Professional	QZ	$190.55	$331.13	$524.81