Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $43.65 / $851.14	Facility		$39.81	$43.65	$851.14
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $537.03 / $537.03 / $537.03	Facility	QZ	$537.03	$537.03	$537.03
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $467.74 / $630.96 / $977.24	Professional	AA	$467.74	$630.96	$977.24
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $169.82 / $380.19 / $575.44	Professional	QK	$169.82	$380.19	$575.44
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $169.82 / $363.08 / $575.44	Professional	QX	$169.82	$363.08	$575.44
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $199.53 / $346.74 / $489.78	Professional	QY	$199.53	$346.74	$489.78
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $281.84 / $478.63 / $691.83	Professional	QZ	$281.84	$478.63	$691.83
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $120.23 / $162.18 / $194.98	Professional	AA	$120.23	$162.18	$194.98
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $57.54 / $72.44 / $117.49	Professional	QK	$57.54	$72.44	$117.49
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $57.54 / $81.28 / $107.15	Professional	QX	$57.54	$81.28	$107.15
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $58.88 / $89.13 / $123.03	Professional	QY	$58.88	$89.13	$123.03
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $120.23 / $162.18 / $213.80	Professional	QZ	$120.23	$162.18	$213.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $50.12 / $3,090.30	Facility		$42.66	$50.12	$3,090.30