Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $583.44 / $583.44 / $583.44	Facility	QZ	$583.44	$583.44	$583.44
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $578.00 / $722.50 / $867.00	Professional	AA	$578.00	$722.50	$867.00
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $201.50 / $263.50 / $361.25	Professional	QK	$201.50	$263.50	$361.25
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $178.50 / $240.00 / $275.89	Professional	QX	$178.50	$240.00	$275.89
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $252.88 / $289.00 / $325.13	Professional	QY	$252.88	$289.00	$325.13
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $292.67 / $505.75 / $794.75	Professional	QZ	$292.67	$505.75	$794.75
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $267.95 / $459.00 / $660.00	Professional	AA	$267.95	$459.00	$660.00
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $204.00 / $206.04 / $255.00	Professional	QK	$204.00	$206.04	$255.00
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $81.92 / $204.00 / $331.50	Professional	QX	$81.92	$204.00	$331.50
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $229.50 / $229.50 / $229.50	Professional	QY	$229.50	$229.50	$229.50
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $357.00 / $459.00 / $547.20	Professional	QZ	$357.00	$459.00	$547.20
Qualchoice Facility/Professional Professional Modifier AA Low / Median / High Price $469.20 / $469.20 / $759.00	Professional	AA	$469.20	$469.20	$759.00
Qualchoice Facility/Professional Professional Modifier QK Low / Median / High Price $236.95 / $236.95 / $293.25	Professional	QK	$236.95	$236.95	$293.25
Qualchoice Facility/Professional Professional Modifier QX Low / Median / High Price $234.60 / $234.60 / $293.25	Professional	QX	$234.60	$234.60	$293.25
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $462.88 / $527.85 / $707.94	Professional	QZ	$462.88	$527.85	$707.94