Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $489.78 / $1,000.00 / $1,584.89	Professional	AA	$489.78	$1,000.00	$1,584.89
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $281.84 / $426.58 / $616.60	Professional	QK	$281.84	$426.58	$616.60
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $257.04 / $426.58 / $616.60	Professional	QX	$257.04	$426.58	$616.60
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $302.00 / $407.38 / $562.34	Professional	QY	$302.00	$407.38	$562.34
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $446.68 / $676.08 / $1,202.26	Professional	QZ	$446.68	$676.08	$1,202.26
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $154.88 / $158.49 / $269.15	Professional	AA	$154.88	$158.49	$269.15
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $87.10 / $89.13 / $120.23	Professional	QK	$87.10	$89.13	$120.23
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $77.62 / $89.13 / $134.90	Professional	QX	$77.62	$89.13	$134.90
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $79.43 / $79.43 / $79.43	Professional	QY	$79.43	$79.43	$79.43
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $134.90 / $204.17 / $295.12	Professional	QZ	$134.90	$204.17	$295.12
AmeriHealth Facility/Professional Professional Modifier QK Low / Median / High Price $10.47 / $10.47 / $31.62	Professional	QK	$10.47	$10.47	$31.62
AmeriHealth Facility/Professional Professional Modifier QX Low / Median / High Price $120.23 / $120.23 / $120.23	Professional	QX	$120.23	$120.23	$120.23