Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $2,122.44 / $4,472.18 / $4,472.18	Facility	QX	$2,122.44	$4,472.18	$4,472.18
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $2,466.19 / $2,466.19 / $2,466.19	Professional	AA	$2,466.19	$2,466.19	$2,466.19
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $1,998.00 / $1,998.00 / $1,998.00	Professional	AA	$1,998.00	$1,998.00	$1,998.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Professional	QZ	$1,040.00	$1,040.00	$1,040.00
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