Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $407.38 / $741.31	Facility		$39.81	$407.38	$741.31
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $446.68 / $645.65 / $812.83	Professional	AA	$446.68	$645.65	$812.83
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $97.72 / $371.54 / $549.54	Professional	QK	$97.72	$371.54	$549.54
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $251.19 / $389.05 / $588.84	Professional	QX	$251.19	$389.05	$588.84
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $257.04 / $338.84 / $446.68	Professional	QY	$257.04	$338.84	$446.68
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $123.03 / $338.84 / $489.78	Professional	QZ	$123.03	$338.84	$489.78
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $134.90 / $162.18 / $707.95	Professional	AA	$134.90	$162.18	$707.95
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $67.61 / $100.00 / $295.12	Professional	QK	$67.61	$100.00	$295.12
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $66.07 / $93.33 / $229.09	Professional	QX	$66.07	$93.33	$229.09
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $67.61 / $100.00 / $204.17	Professional	QY	$67.61	$100.00	$204.17
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $120.23 / $165.96 / $407.38	Professional	QZ	$120.23	$165.96	$407.38