Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $588.84 / $1,148.15 / $1,479.11	Professional	AA	$588.84	$1,148.15	$1,479.11
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $323.59 / $436.52 / $616.60	Professional	QK	$323.59	$436.52	$616.60
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $323.59 / $436.52 / $645.65	Professional	QX	$323.59	$436.52	$645.65
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $316.23 / $398.11 / $588.84	Professional	QY	$316.23	$398.11	$588.84
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $141.25 / $524.81 / $1,023.29	Professional	QZ	$141.25	$524.81	$1,023.29
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $194.98 / $194.98 / $257.04	Professional	AA	$194.98	$194.98	$257.04
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $70.79 / $102.33 / $144.54	Professional	QK	$70.79	$102.33	$144.54
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $60.26 / $81.28 / $128.82	Professional	QX	$60.26	$81.28	$128.82
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $67.61 / $87.10 / $128.82	Professional	QY	$67.61	$87.10	$128.82
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $120.23 / $158.49 / $186.21	Professional	QZ	$120.23	$158.49	$186.21