Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $3,360.00 / $3,360.00 / $3,780.00	Professional	AA	$3,360.00	$3,360.00	$3,780.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $2,090.00 / $2,090.00 / $2,090.00	Professional	QZ	$2,090.00	$2,090.00	$2,090.00
Medica Facility/Professional Facility Modifier QK Low / Median / High Price $39.50 / $39.50 / $52.00	Facility	QK	$39.50	$39.50	$52.00
Medica Facility/Professional Facility Modifier QX Low / Median / High Price $39.50 / $39.50 / $52.00	Facility	QX	$39.50	$39.50	$52.00
Medica Facility/Professional Facility Modifier QY Low / Median / High Price $39.50 / $39.50 / $52.00	Facility	QY	$39.50	$39.50	$52.00