Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $388.32 / $1,193.64 / $3,357.30	Facility	QX	$388.32	$1,193.64	$3,357.30
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $175.00 / $175.00 / $175.00	Professional	QZ	$175.00	$175.00	$175.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $1,560.00 / $1,560.00 / $1,988.00	Professional	QZ	$1,560.00	$1,560.00	$1,988.00
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