Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $604.79 / $645.15 / $792.12	Facility	QX	$604.79	$645.15	$792.12
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,161.77 / $1,644.50 / $2,443.31	Professional	AA	$1,161.77	$1,644.50	$2,443.31
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $406.43 / $724.61 / $934.21	Professional	QX	$406.43	$724.61	$934.21
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $724.61 / $724.61 / $724.61	Professional	QY	$724.61	$724.61	$724.61
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $666.00 / $666.00 / $1,628.00	Professional	AA	$666.00	$666.00	$1,628.00
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $218.25 / $425.00 / $606.25	Professional	QX	$218.25	$425.00	$606.25
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $312.35 / $312.35 / $1,268.80	Professional	QY	$312.35	$312.35	$1,268.80
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $455.00 / $455.00 / $520.00	Professional	QZ	$455.00	$455.00	$520.00
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