Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $554.45 / $610.00	Facility		$30.00	$554.45	$610.00
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $235.48 / $383.35 / $436.80	Facility	QX	$235.48	$383.35	$436.80
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $644.00 / $778.80 / $970.14	Professional	AA	$644.00	$778.80	$970.14
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $353.32 / $407.22 / $566.40	Professional	QK	$353.32	$407.22	$566.40
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $263.97 / $383.26 / $500.25	Professional	QX	$263.97	$383.26	$500.25
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $345.00 / $383.50 / $467.10	Professional	QY	$345.00	$383.50	$467.10
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $106.86 / $189.00 / $522.52	Professional	QZ	$106.86	$189.00	$522.52
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $518.00 / $592.00 / $700.00	Professional	AA	$518.00	$592.00	$700.00
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $145.50 / $227.50 / $818.13	Professional	QK	$145.50	$227.50	$818.13
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $121.25 / $192.00 / $318.50	Professional	QX	$121.25	$192.00	$318.50
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $257.13 / $257.13 / $257.13	Professional	QY	$257.13	$257.13	$257.13
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $98.15 / $162.36 / $700.00	Professional	QZ	$98.15	$162.36	$700.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,950.00 / $3,990.00	Facility		$1,200.00	$1,950.00	$3,990.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,240.79 / $2,263.89 / $3,449.56	Facility		$2,240.79	$2,263.89	$3,449.56
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $82.00 / $82.00 / $82.00	Facility		$82.00	$82.00	$82.00
Wellcare Facility/Professional Facility Modifier QK Low / Median / High Price $37.00 / $37.00 / $39.50	Facility	QK	$37.00	$37.00	$39.50
Wellcare Facility/Professional Facility Modifier QX Low / Median / High Price $37.00 / $37.00 / $39.50	Facility	QX	$37.00	$37.00	$39.50
Wellcare Facility/Professional Facility Modifier QY Low / Median / High Price $37.00 / $37.00 / $39.50	Facility	QY	$37.00	$37.00	$39.50