Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $524.81 / $676.08 / $1,122.02	Professional	AA	$524.81	$676.08	$1,122.02
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $239.88 / $416.87 / $575.44	Professional	QK	$239.88	$416.87	$575.44
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $194.98 / $380.19 / $562.34	Professional	QX	$194.98	$380.19	$562.34
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $194.98 / $380.19 / $478.63	Professional	QY	$194.98	$380.19	$478.63
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $323.59 / $537.03 / $794.33	Professional	QZ	$323.59	$537.03	$794.33
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $141.25 / $177.83 / $251.19	Professional	AA	$141.25	$177.83	$251.19
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $77.62 / $91.20 / $131.83	Professional	QK	$77.62	$91.20	$131.83
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $70.79 / $89.13 / $138.04	Professional	QX	$70.79	$89.13	$138.04
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $67.61 / $85.11 / $141.25	Professional	QY	$67.61	$85.11	$141.25
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $138.04 / $173.78 / $234.42	Professional	QZ	$138.04	$173.78	$234.42