Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $65.80 / $65.80 / $65.80	Facility	QX	$65.80	$65.80	$65.80
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $135.56 / $463.50 / $706.64	Professional	AA	$135.56	$463.50	$706.64
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $90.30 / $102.41 / $122.49	Professional	QZ	$90.30	$102.41	$122.49
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $592.00 / $592.00 / $592.00	Professional	AA	$592.00	$592.00	$592.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $339.50 / $339.50 / $1,136.00	Professional	QZ	$339.50	$339.50	$1,136.00
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