Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.25 / $438.00 / $2,411.19	Facility		$21.25	$438.00	$2,411.19
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $172.21 / $838.30 / $1,820.00	Professional	AA	$172.21	$838.30	$1,820.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $835.66 / $835.66 / $835.66	Professional	QZ	$835.66	$835.66	$835.66
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $140.77 / $327.39 / $747.46	Professional	AA	$140.77	$327.39	$747.46
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $104.17 / $104.17 / $104.17	Professional	QK	$104.17	$104.17	$104.17
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $80.44 / $104.17 / $195.00	Professional	QX	$80.44	$104.17	$195.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $116.22 / $160.88 / $854.24	Professional	QZ	$116.22	$160.88	$854.24
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $291.12 / $390.00 / $615.84	Professional		$291.12	$390.00	$615.84
United Facility/Professional Professional Modifier AA Low / Median / High Price $1,445.60 / $1,445.60 / $1,445.60	Professional	AA	$1,445.60	$1,445.60	$1,445.60