Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $450.70 / $990.45	Facility		$48.00	$450.70	$990.45
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $577.20 / $577.20 / $577.20	Facility	QZ	$577.20	$577.20	$577.20
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $392.00 / $392.00 / $548.79	Professional	QZ	$392.00	$392.00	$548.79
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $158.34 / $288.91 / $600.63	Professional	AA	$158.34	$288.91	$600.63
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $98.06 / $144.44 / $402.50	Professional	QK	$98.06	$144.44	$402.50
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $78.95 / $144.44 / $402.50	Professional	QX	$78.95	$144.44	$402.50
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $168.53 / $168.53 / $168.53	Professional	QY	$168.53	$168.53	$168.53
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $147.78 / $211.12 / $595.00	Professional	QZ	$147.78	$211.12	$595.00