Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $371.54 / $371.54 / $1,905.46	Facility	QX	$371.54	$371.54	$1,905.46
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $691.83 / $1,023.29 / $1,659.59	Professional	AA	$691.83	$1,023.29	$1,659.59
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $331.13 / $691.83 / $933.25	Professional	QZ	$331.13	$691.83	$933.25
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $177.83 / $512.86 / $912.01	Professional	AA	$177.83	$512.86	$912.01
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $162.18 / $251.19 / $891.25	Professional	QZ	$162.18	$251.19	$891.25
Wellcare Facility/Professional Facility Modifier QK Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	QK	$52.48	$52.48	$52.48
Wellcare Facility/Professional Facility Modifier QX Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	QX	$52.48	$52.48	$52.48
Wellcare Facility/Professional Facility Modifier QY Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	QY	$52.48	$52.48	$52.48