Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $117.49 / $117.49 / $117.49	Facility	QK	$117.49	$117.49	$117.49
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $758.58 / $758.58 / $870.96	Facility	QX	$758.58	$758.58	$870.96
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $741.31 / $1,412.54 / $2,691.53	Professional	AA	$741.31	$1,412.54	$2,691.53
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $354.81 / $616.60 / $1,071.52	Professional	QX	$354.81	$616.60	$1,071.52
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $316.23 / $707.95 / $1,659.59	Professional	QY	$316.23	$707.95	$1,659.59
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $575.44 / $933.25 / $1,737.80	Professional	QZ	$575.44	$933.25	$1,737.80
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $162.18 / $275.42 / $891.25	Professional	AA	$162.18	$275.42	$891.25
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $12.88 / $173.78 / $354.81	Professional	QX	$12.88	$173.78	$354.81
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $218.78 / $288.40 / $524.81	Professional	QZ	$218.78	$288.40	$524.81