Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.00 / $46.50 / $850.00	Facility		$44.00	$46.50	$850.00
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $535.20 / $535.20 / $535.20	Facility	QZ	$535.20	$535.20	$535.20
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $96.48 / $195.30 / $246.40	Professional	QK	$96.48	$195.30	$246.40
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $95.62 / $208.00 / $272.80	Professional	QX	$95.62	$208.00	$272.80
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $274.35 / $306.89 / $365.40	Professional	QZ	$274.35	$306.89	$365.40
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $135.72 / $178.39 / $520.00	Professional	AA	$135.72	$178.39	$520.00
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $58.17 / $77.56 / $260.00	Professional	QK	$58.17	$77.56	$260.00
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $58.17 / $78.04 / $89.19	Professional	QX	$58.17	$78.04	$89.19
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $70.20 / $133.79 / $325.00	Professional	QY	$70.20	$133.79	$325.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $118.86 / $142.52 / $213.95	Professional	QZ	$118.86	$142.52	$213.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $82.00 / $3,120.00	Facility		$42.84	$82.00	$3,120.00