Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $478.63 / $758.58 / $2,290.87	Facility	QX	$478.63	$758.58	$2,290.87
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $707.95 / $1,202.26 / $1,995.26	Professional	AA	$707.95	$1,202.26	$1,995.26
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $467.74 / $812.83 / $1,122.02	Professional	QZ	$467.74	$812.83	$1,122.02
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $177.83 / $302.00 / $912.01	Professional	AA	$177.83	$302.00	$912.01
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $162.18 / $288.40 / $891.25	Professional	QZ	$162.18	$288.40	$891.25
Wellcare Facility/Professional Facility Modifier QK Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	QK	$52.48	$52.48	$52.48
Wellcare Facility/Professional Facility Modifier QX Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	QX	$52.48	$52.48	$52.48
Wellcare Facility/Professional Facility Modifier QY Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	QY	$52.48	$52.48	$52.48