Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $426.58 / $645.65 / $912.01	Professional	AA	$426.58	$645.65	$912.01
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $245.47 / $426.58 / $588.84	Professional	QK	$245.47	$426.58	$588.84
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $251.19 / $426.58 / $616.60	Professional	QX	$251.19	$426.58	$616.60
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $331.13 / $398.11 / $467.74	Professional	QY	$331.13	$398.11	$467.74
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $295.12 / $426.58 / $588.84	Professional	QZ	$295.12	$426.58	$588.84
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $141.25 / $218.78 / $354.81	Professional	AA	$141.25	$218.78	$354.81
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $81.28 / $91.20 / $229.09	Professional	QK	$81.28	$91.20	$229.09
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $79.43 / $112.20 / $177.83	Professional	QX	$79.43	$112.20	$177.83
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $79.43 / $128.82 / $302.00	Professional	QY	$79.43	$128.82	$302.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $138.04 / $295.12 / $537.03	Professional	QZ	$138.04	$295.12	$537.03
Qualchoice Facility/Professional Professional Modifier AA Low / Median / High Price $407.38 / $407.38 / $812.83	Professional	AA	$407.38	$407.38	$812.83
Qualchoice Facility/Professional Professional Modifier QK Low / Median / High Price $263.03 / $263.03 / $295.12	Professional	QK	$263.03	$263.03	$295.12
Qualchoice Facility/Professional Professional Modifier QX Low / Median / High Price $204.17 / $204.17 / $234.42	Professional	QX	$204.17	$204.17	$234.42
Qualchoice Facility/Professional Professional Modifier QY Low / Median / High Price $281.84 / $281.84 / $346.74	Professional	QY	$281.84	$281.84	$346.74
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $407.38 / $524.81 / $724.44	Professional	QZ	$407.38	$524.81	$724.44