Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $2,145.87 / $2,145.87 / $2,145.87	Facility	QZ	$2,145.87	$2,145.87	$2,145.87
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $127.56 / $514.60 / $1,400.00	Professional	AA	$127.56	$514.60	$1,400.00
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $415.47 / $415.47 / $415.47	Professional	QX	$415.47	$415.47	$415.47
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $21.00 / $125.00 / $300.00	Professional	QZ	$21.00	$125.00	$300.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $420.00 / $492.00 / $660.00	Professional	AA	$420.00	$492.00	$660.00
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $42.59 / $42.59 / $42.59	Professional	QX	$42.59	$42.59	$42.59
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $85.17 / $420.00 / $492.00	Professional	QZ	$85.17	$420.00	$492.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $140.40 / $2,170.00 / $3,745.00	Facility		$140.40	$2,170.00	$3,745.00
Medica Facility/Professional Facility Modifier QK Low / Median / High Price $39.50 / $39.50 / $52.00	Facility	QK	$39.50	$39.50	$52.00
Medica Facility/Professional Facility Modifier QX Low / Median / High Price $39.50 / $39.50 / $52.00	Facility	QX	$39.50	$39.50	$52.00
Medica Facility/Professional Facility Modifier QY Low / Median / High Price $39.50 / $39.50 / $52.00	Facility	QY	$39.50	$39.50	$52.00