Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.33 / $68.00 / $749.70	Facility		$26.33	$68.00	$749.70
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $204.40 / $205.40 / $259.72	Professional	QK	$204.40	$205.40	$259.72
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $70.81 / $176.80 / $194.36	Professional	QX	$70.81	$176.80	$194.36
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $144.65 / $144.65 / $144.65	Professional	QY	$144.65	$144.65	$144.65
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $119.36 / $313.60 / $397.60	Professional	QZ	$119.36	$313.60	$397.60
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $136.57 / $136.57 / $640.00	Professional	AA	$136.57	$136.57	$640.00
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $78.04 / $127.30 / $936.00	Professional	QK	$78.04	$127.30	$936.00
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $68.29 / $105.84 / $256.00	Professional	QX	$68.29	$105.84	$256.00
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $87.80 / $109.74 / $560.00	Professional	QY	$87.80	$109.74	$560.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $117.06 / $158.03 / $218.51	Professional	QZ	$117.06	$158.03	$218.51
United Facility/Professional Professional Modifier QX Low / Median / High Price $157.50 / $157.50 / $157.50	Professional	QX	$157.50	$157.50	$157.50