Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $537.03 / $954.99 / $1,513.56	Professional	AA	$537.03	$954.99	$1,513.56
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $275.42 / $407.38 / $676.08	Professional	QK	$275.42	$407.38	$676.08
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $257.04 / $398.11 / $660.69	Professional	QX	$257.04	$398.11	$660.69
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $257.04 / $398.11 / $741.31	Professional	QY	$257.04	$398.11	$741.31
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $467.74 / $660.69 / $933.25	Professional	QZ	$467.74	$660.69	$933.25
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $141.25 / $245.47 / $524.81	Professional	AA	$141.25	$245.47	$524.81
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $87.10 / $120.23 / $295.12	Professional	QK	$87.10	$120.23	$295.12
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $66.07 / $107.15 / $295.12	Professional	QX	$66.07	$107.15	$295.12
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $141.25 / $151.36 / $151.36	Professional	QY	$141.25	$151.36	$151.36
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $138.04 / $177.83 / $588.84	Professional	QZ	$138.04	$177.83	$588.84