Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,248.76 / $1,481.20 / $1,785.38	Professional	AA	$1,248.76	$1,481.20	$1,785.38
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $66.33 / $283.13 / $399.00	Professional	QK	$66.33	$283.13	$399.00
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $253.71 / $283.13 / $327.25	Professional	QX	$253.71	$283.13	$327.25
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $70.48 / $275.77 / $301.51	Professional	QY	$70.48	$275.77	$301.51
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $450.43 / $450.43 / $450.43	Professional	QZ	$450.43	$450.43	$450.43
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $161.26 / $168.72 / $585.00	Professional	AA	$161.26	$168.72	$585.00
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $73.81 / $154.22 / $227.50	Professional	QK	$73.81	$154.22	$227.50
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $154.22 / $154.22 / $154.22	Professional	QX	$154.22	$154.22	$154.22
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $84.36 / $84.36 / $98.73	Professional	QY	$84.36	$84.36	$98.73
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $385.00 / $408.00 / $483.00	Professional	QZ	$385.00	$408.00	$483.00
AmeriHealth Facility/Professional Professional Modifier QK Low / Median / High Price $10.46 / $10.46 / $31.75	Professional	QK	$10.46	$10.46	$31.75
AmeriHealth Facility/Professional Professional Modifier QX Low / Median / High Price $120.00 / $120.00 / $120.00	Professional	QX	$120.00	$120.00	$120.00