Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $408.00 / $408.00 / $412.00	Professional	AA	$408.00	$408.00	$412.00
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $174.00 / $182.00 / $294.00	Professional	QK	$174.00	$182.00	$294.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $756.00 / $810.00 / $995.40	Professional	QZ	$756.00	$810.00	$995.40
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $120.30 / $157.60 / $177.30	Professional	AA	$120.30	$157.60	$177.30
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $78.80 / $78.80 / $78.80	Professional	QK	$78.80	$78.80	$78.80
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $77.56 / $78.80 / $260.00	Professional	QX	$77.56	$78.80	$260.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $157.60 / $177.30 / $455.00	Professional	QZ	$157.60	$177.30	$455.00