Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $248.00 / $248.00 / $248.00	Facility	QX	$248.00	$248.00	$248.00
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $576.70 / $865.20 / $1,380.60	Professional	AA	$576.70	$865.20	$1,380.60
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $888.00 / $962.00 / $1,110.00	Professional	AA	$888.00	$962.00	$1,110.00
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