Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $436.52 / $2,398.83	Facility		$38.02	$436.52	$2,398.83
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $288.40 / $588.84 / $1,174.90	Professional	AA	$288.40	$588.84	$1,174.90
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $79.43 / $316.23 / $478.63	Professional	QK	$79.43	$316.23	$478.63
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $93.33 / $323.59 / $537.03	Professional	QX	$93.33	$323.59	$537.03
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $114.82 / $302.00 / $407.38	Professional	QY	$114.82	$302.00	$407.38
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $141.25 / $389.05 / $602.56	Professional	QZ	$141.25	$389.05	$602.56
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $123.03 / $194.98 / $977.24	Professional	AA	$123.03	$194.98	$977.24
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $69.18 / $104.71 / $257.04	Professional	QK	$69.18	$104.71	$257.04
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $60.26 / $93.33 / $257.04	Professional	QX	$60.26	$93.33	$257.04
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $61.66 / $109.65 / $323.59	Professional	QY	$61.66	$109.65	$323.59
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $120.23 / $162.18 / $457.09	Professional	QZ	$120.23	$162.18	$457.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $389.05 / $616.60	Professional		$288.40	$389.05	$616.60