Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $588.00 / $588.00 / $588.00	Professional	AA	$588.00	$588.00	$588.00
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $78.25 / $238.70 / $263.50	Professional	QK	$78.25	$238.70	$263.50
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $78.25 / $232.50 / $263.50	Professional	QX	$78.25	$232.50	$263.50
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $292.67 / $367.35 / $483.00	Professional	QZ	$292.67	$367.35	$483.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $135.72 / $193.90 / $585.00	Professional	AA	$135.72	$193.90	$585.00
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $78.04 / $110.94 / $292.50	Professional	QK	$78.04	$110.94	$292.50
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $77.56 / $89.19 / $111.49	Professional	QX	$77.56	$89.19	$111.49
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $89.19 / $140.00 / $357.50	Professional	QY	$89.19	$140.00	$357.50
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $138.66 / $185.38 / $255.95	Professional	QZ	$138.66	$185.38	$255.95