Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $48.00 / $950.30	Facility		$40.00	$48.00	$950.30
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $234.02 / $234.02 / $234.02	Facility	QK	$234.02	$234.02	$234.02
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $217.75 / $217.75 / $217.75	Professional	QX	$217.75	$217.75	$217.75
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $99.58 / $206.40 / $591.60	Professional	QZ	$99.58	$206.40	$591.60
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $117.06 / $136.57 / $140.35	Professional	AA	$117.06	$136.57	$140.35
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $70.23 / $113.16 / $416.00	Professional	QK	$70.23	$113.16	$416.00
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $68.29 / $85.36 / $288.00	Professional	QX	$68.29	$85.36	$288.00
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $58.53 / $58.53 / $58.53	Professional	QY	$58.53	$58.53	$58.53
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $117.06 / $163.88 / $354.00	Professional	QZ	$117.06	$163.88	$354.00