Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $1,210.72 / $1,210.72 / $1,210.72	Facility	QX	$1,210.72	$1,210.72	$1,210.72
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,209.68 / $1,209.68 / $1,377.36	Professional	AA	$1,209.68	$1,209.68	$1,377.36
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $545.60 / $545.60 / $545.60	Professional	QZ	$545.60	$545.60	$545.60
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $800.00 / $1,000.00 / $1,000.00	Professional	QZ	$800.00	$1,000.00	$1,000.00
United Facility/Professional Professional Modifier AA Low / Median / High Price $88.00 / $88.00 / $88.00	Professional	AA	$88.00	$88.00	$88.00
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