Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $562.34 / $562.34 / $562.34	Facility	QX	$562.34	$562.34	$562.34
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $537.03 / $912.01 / $1,380.38	Professional	AA	$537.03	$912.01	$1,380.38
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $263.03 / $426.58 / $707.95	Professional	QK	$263.03	$426.58	$707.95
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $263.03 / $426.58 / $724.44	Professional	QX	$263.03	$426.58	$724.44
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $288.40 / $416.87 / $707.95	Professional	QY	$288.40	$416.87	$707.95
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $354.81 / $645.65 / $1,318.26	Professional	QZ	$354.81	$645.65	$1,318.26
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $151.36 / $338.84 / $1,071.52	Professional	AA	$151.36	$338.84	$1,071.52
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $85.11 / $158.49 / $575.44	Professional	QK	$85.11	$158.49	$575.44
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $79.43 / $169.82 / $660.69	Professional	QX	$79.43	$169.82	$660.69
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $74.13 / $239.88 / $645.65	Professional	QY	$74.13	$239.88	$645.65
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $144.54 / $208.93 / $1,174.90	Professional	QZ	$144.54	$208.93	$1,174.90