Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility	AA	$1,621.81	$1,621.81	$1,621.81
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $977.24 / $977.24 / $977.24	Facility	QK	$977.24	$977.24	$977.24
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $660.69 / $1,230.27 / $2,137.96	Professional	AA	$660.69	$1,230.27	$2,137.96
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $407.38 / $812.83 / $1,174.90	Professional	QZ	$407.38	$812.83	$1,174.90
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $158.49 / $181.97 / $467.74	Professional	AA	$158.49	$181.97	$467.74
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $162.18 / $239.88 / $331.13	Professional	QZ	$162.18	$239.88	$331.13
Aultcare Facility/Professional Professional Modifier AA Low / Median / High Price $354.81 / $776.25 / $1,737.80	Professional	AA	$354.81	$776.25	$1,737.80
Aultcare Facility/Professional Professional Modifier QZ Low / Median / High Price $436.52 / $602.56 / $870.96	Professional	QZ	$436.52	$602.56	$870.96