Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $891.25 / $1,000.00	Facility		$44.67	$891.25	$1,000.00
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $562.34 / $562.34 / $562.34	Facility	QX	$562.34	$562.34	$562.34
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $436.52 / $794.33 / $1,288.25	Professional	AA	$436.52	$794.33	$1,288.25
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $138.04 / $380.19 / $645.65	Professional	QK	$138.04	$380.19	$645.65
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $181.97 / $389.05 / $676.08	Professional	QX	$181.97	$389.05	$676.08
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $229.09 / $354.81 / $602.56	Professional	QY	$229.09	$354.81	$602.56
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $181.97 / $562.34 / $1,148.15	Professional	QZ	$181.97	$562.34	$1,148.15
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $147.91 / $354.81 / $891.25	Professional	AA	$147.91	$354.81	$891.25
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $70.79 / $158.49 / $512.86	Professional	QK	$70.79	$158.49	$512.86
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $72.44 / $169.82 / $537.03	Professional	QX	$72.44	$169.82	$537.03
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $67.61 / $147.91 / $512.86	Professional	QY	$67.61	$147.91	$512.86
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $123.03 / $218.78 / $1,047.13	Professional	QZ	$123.03	$218.78	$1,047.13