Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $457.09 / $741.31 / $1,202.26	Professional	AA	$457.09	$741.31	$1,202.26
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $309.03 / $436.52 / $707.95	Professional	QK	$309.03	$436.52	$707.95
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $302.00 / $416.87 / $645.65	Professional	QX	$302.00	$416.87	$645.65
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $316.23 / $407.38 / $588.84	Professional	QY	$316.23	$407.38	$588.84
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $398.11 / $575.44 / $912.01	Professional	QZ	$398.11	$575.44	$912.01
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $141.25 / $229.09 / $616.60	Professional	AA	$141.25	$229.09	$616.60
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $87.10 / $128.82 / $257.04	Professional	QK	$87.10	$128.82	$257.04
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $77.62 / $91.20 / $263.03	Professional	QX	$77.62	$91.20	$263.03
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $74.13 / $89.13 / $141.25	Professional	QY	$74.13	$89.13	$141.25
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $141.25 / $177.83 / $524.81	Professional	QZ	$141.25	$177.83	$524.81