Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $602.56 / $1,023.29 / $1,479.11	Professional	AA	$602.56	$1,023.29	$1,479.11
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $269.15 / $446.68 / $724.44	Professional	QK	$269.15	$446.68	$724.44
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $173.78 / $446.68 / $707.95	Professional	QX	$173.78	$446.68	$707.95
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $302.00 / $407.38 / $724.44	Professional	QY	$302.00	$407.38	$724.44
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $181.97 / $524.81 / $1,174.90	Professional	QZ	$181.97	$524.81	$1,174.90
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $269.15 / $380.19 / $724.44	Professional	AA	$269.15	$380.19	$724.44
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $144.54 / $181.97 / $416.87	Professional	QK	$144.54	$181.97	$416.87
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $144.54 / $181.97 / $416.87	Professional	QX	$144.54	$181.97	$416.87
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $114.82 / $114.82 / $114.82	Professional	QY	$114.82	$114.82	$114.82
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $158.49 / $251.19 / $524.81	Professional	QZ	$158.49	$251.19	$524.81