Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $158.93 / $980.00 / $1,540.00	Professional	AA	$158.93	$980.00	$1,540.00
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $80.98 / $248.85 / $292.95	Professional	QK	$80.98	$248.85	$292.95
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $220.50 / $242.55 / $296.10	Professional	QX	$220.50	$242.55	$296.10
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $374.40 / $416.00 / $478.80	Professional	QZ	$374.40	$416.00	$478.80
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $157.60 / $157.60 / $160.47	Professional	AA	$157.60	$157.60	$160.47
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $68.29 / $90.27 / $105.05	Professional	QK	$68.29	$90.27	$105.05
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $84.36 / $93.38 / $105.05	Professional	QX	$84.36	$93.38	$105.05
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $139.22 / $210.11 / $306.00	Professional	QZ	$139.22	$210.11	$306.00