Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $363.08 / $363.08 / $602.56	Facility	QX	$363.08	$363.08	$602.56
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $549.54 / $954.99 / $1,348.96	Professional	AA	$549.54	$954.99	$1,348.96
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $288.40 / $446.68 / $691.83	Professional	QK	$288.40	$446.68	$691.83
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $281.84 / $436.52 / $707.95	Professional	QX	$281.84	$436.52	$707.95
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $316.23 / $436.52 / $660.69	Professional	QY	$316.23	$436.52	$660.69
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $331.13 / $588.84 / $794.33	Professional	QZ	$331.13	$588.84	$794.33
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $141.25 / $316.23 / $870.96	Professional	AA	$141.25	$316.23	$870.96
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $85.11 / $114.82 / $436.52	Professional	QK	$85.11	$114.82	$436.52
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $77.62 / $114.82 / $512.86	Professional	QX	$77.62	$114.82	$512.86
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $85.11 / $95.50 / $302.00	Professional	QY	$85.11	$95.50	$302.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $138.04 / $165.96 / $588.84	Professional	QZ	$138.04	$165.96	$588.84
Wellcare Facility/Professional Facility Modifier QK Low / Median / High Price $134.90 / $134.90 / $134.90	Facility	QK	$134.90	$134.90	$134.90
Wellcare Facility/Professional Facility Modifier QX Low / Median / High Price $134.90 / $134.90 / $134.90	Facility	QX	$134.90	$134.90	$134.90
Wellcare Facility/Professional Facility Modifier QY Low / Median / High Price $134.90 / $134.90 / $134.90	Facility	QY	$134.90	$134.90	$134.90