Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $380.19 / $645.65 / $1,258.93	Professional	AA	$380.19	$645.65	$1,258.93
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $295.12 / $407.38 / $524.81	Professional	QK	$295.12	$407.38	$524.81
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $323.59 / $407.38 / $512.86	Professional	QX	$323.59	$407.38	$512.86
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $338.84 / $407.38 / $457.09	Professional	QY	$338.84	$407.38	$457.09
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $398.11 / $676.08 / $1,071.52	Professional	QZ	$398.11	$676.08	$1,071.52
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $141.25 / $177.83 / $776.25	Professional	AA	$141.25	$177.83	$776.25
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $85.11 / $144.54 / $323.59	Professional	QK	$85.11	$144.54	$323.59
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $70.79 / $81.28 / $323.59	Professional	QX	$70.79	$81.28	$323.59
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $85.11 / $85.11 / $85.11	Professional	QY	$85.11	$85.11	$85.11
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $138.04 / $173.78 / $457.09	Professional	QZ	$138.04	$173.78	$457.09