Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $562.34 / $707.95 / $912.01	Professional	AA	$562.34	$707.95	$912.01
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $323.59 / $426.58 / $562.34	Professional	QK	$323.59	$426.58	$562.34
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $323.59 / $416.87 / $575.44	Professional	QX	$323.59	$416.87	$575.44
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $331.13 / $398.11 / $467.74	Professional	QY	$331.13	$398.11	$467.74
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $138.04 / $407.38 / $630.96	Professional	QZ	$138.04	$407.38	$630.96
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $141.25 / $173.78 / $269.15	Professional	AA	$141.25	$173.78	$269.15
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $81.28 / $97.72 / $257.04	Professional	QK	$81.28	$97.72	$257.04
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $67.61 / $89.13 / $288.40	Professional	QX	$67.61	$89.13	$288.40
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $79.43 / $97.72 / $141.25	Professional	QY	$79.43	$97.72	$141.25
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $138.04 / $177.83 / $457.09	Professional	QZ	$138.04	$177.83	$457.09