Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $724.44 / $1,174.90 / $1,698.24	Professional	AA	$724.44	$1,174.90	$1,698.24
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $758.58 / $794.33 / $870.96	Professional	QZ	$758.58	$794.33	$870.96
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $190.55 / $190.55 / $851.14	Professional	AA	$190.55	$190.55	$851.14
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $181.97 / $218.78 / $512.86	Professional	QZ	$181.97	$218.78	$512.86
Wellcare Facility/Professional Facility Modifier QK Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	QK	$52.48	$52.48	$52.48
Wellcare Facility/Professional Facility Modifier QX Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	QX	$52.48	$52.48	$52.48
Wellcare Facility/Professional Facility Modifier QY Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	QY	$52.48	$52.48	$52.48