Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.00 / $46.50 / $850.00	Facility		$44.00	$46.50	$850.00
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $729.22 / $729.22 / $1,788.14	Facility	QZ	$729.22	$729.22	$1,788.14
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $119.00 / $179.80 / $213.90	Professional	QK	$119.00	$179.80	$213.90
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $60.42 / $172.80 / $223.20	Professional	QX	$60.42	$172.80	$223.20
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $255.75 / $283.64 / $357.31	Professional	QZ	$255.75	$283.64	$357.31
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $126.04 / $245.28 / $390.00	Professional	AA	$126.04	$245.28	$390.00
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $58.17 / $67.87 / $195.00	Professional	QK	$58.17	$67.87	$195.00
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $58.17 / $78.04 / $100.34	Professional	QX	$58.17	$78.04	$100.34
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $120.00 / $120.00 / $120.00	Professional	QY	$120.00	$120.00	$120.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $116.34 / $137.41 / $280.00	Professional	QZ	$116.34	$137.41	$280.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $82.00 / $3,120.00	Facility		$42.84	$82.00	$3,120.00