Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $776.25 / $776.25 / $776.25	Facility	QZ	$776.25	$776.25	$776.25
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $676.08 / $812.83 / $1,258.93	Professional	AA	$676.08	$812.83	$1,258.93
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $309.03 / $467.74 / $912.01	Professional	QK	$309.03	$467.74	$912.01
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $331.13 / $436.52 / $912.01	Professional	QX	$331.13	$436.52	$912.01
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $199.53 / $660.69 / $1,122.02	Professional	QY	$199.53	$660.69	$1,122.02
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $724.44 / $851.14 / $1,288.25	Professional	QZ	$724.44	$851.14	$1,288.25
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $144.54 / $186.21 / $537.03	Professional	AA	$144.54	$186.21	$537.03
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $67.61 / $147.91 / $338.84	Professional	QK	$67.61	$147.91	$338.84
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $97.72 / $147.91 / $338.84	Professional	QX	$97.72	$147.91	$338.84
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $141.25 / $158.49 / $1,148.15	Professional	QZ	$141.25	$158.49	$1,148.15