Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $673.96 / $673.96 / $673.96	Facility	QX	$673.96	$673.96	$673.96
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $630.69 / $1,353.40 / $1,616.90	Professional	AA	$630.69	$1,353.40	$1,616.90
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $740.00 / $740.00 / $740.00	Professional	AA	$740.00	$740.00	$740.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $157.04 / $157.04 / $157.04	Professional	QZ	$157.04	$157.04	$157.04
Wellcare Facility/Professional Facility Modifier QK Low / Median / High Price $37.00 / $37.00 / $39.50	Facility	QK	$37.00	$37.00	$39.50
Wellcare Facility/Professional Facility Modifier QX Low / Median / High Price $37.00 / $37.00 / $39.50	Facility	QX	$37.00	$37.00	$39.50
Wellcare Facility/Professional Facility Modifier QY Low / Median / High Price $37.00 / $37.00 / $39.50	Facility	QY	$37.00	$37.00	$39.50