Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $983.45 / $1,820.00 / $4,060.00	Professional	AA	$983.45	$1,820.00	$4,060.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $820.00 / $1,690.00 / $2,210.00	Professional	AA	$820.00	$1,690.00	$2,210.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $1,120.00 / $1,560.00 / $3,120.00	Professional	QZ	$1,120.00	$1,560.00	$3,120.00
Medica Facility/Professional Facility Modifier QK Low / Median / High Price $39.50 / $39.50 / $52.00	Facility	QK	$39.50	$39.50	$52.00
Medica Facility/Professional Facility Modifier QX Low / Median / High Price $39.50 / $39.50 / $52.00	Facility	QX	$39.50	$39.50	$52.00
Medica Facility/Professional Facility Modifier QY Low / Median / High Price $39.50 / $39.50 / $52.00	Facility	QY	$39.50	$39.50	$52.00