Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $537.03 / $1,000.00	Facility		$32.36	$537.03	$1,000.00
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $776.25 / $776.25 / $851.14	Facility	QZ	$776.25	$776.25	$851.14
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $338.84 / $676.08 / $1,071.52	Professional	AA	$338.84	$676.08	$1,071.52
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $208.93 / $380.19 / $758.58	Professional	QK	$208.93	$380.19	$758.58
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $223.87 / $363.08 / $758.58	Professional	QX	$223.87	$363.08	$758.58
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $208.93 / $407.38 / $741.31	Professional	QY	$208.93	$407.38	$741.31
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $398.11 / $707.95 / $1,288.25	Professional	QZ	$398.11	$707.95	$1,288.25
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $186.21 / $338.84 / $467.74	Professional	AA	$186.21	$338.84	$467.74
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $58.88 / $112.20 / $302.00	Professional	QK	$58.88	$112.20	$302.00
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $89.13 / $120.23 / $269.15	Professional	QX	$89.13	$120.23	$269.15
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $57.54 / $194.98 / $269.15	Professional	QY	$57.54	$194.98	$269.15
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $117.49 / $204.17 / $1,071.52	Professional	QZ	$117.49	$204.17	$1,071.52