Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $373.52 / $373.52 / $373.52	Facility	QX	$373.52	$373.52	$373.52
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $730.60 / $982.11 / $1,483.50	Professional	AA	$730.60	$982.11	$1,483.50
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $545.60 / $545.60 / $545.60	Professional	QZ	$545.60	$545.60	$545.60
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $888.00 / $888.00 / $962.00	Professional	AA	$888.00	$888.00	$962.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $227.53 / $900.00 / $1,136.00	Professional	QZ	$227.53	$900.00	$1,136.00
Wellcare Facility/Professional Facility Modifier QK Low / Median / High Price $37.00 / $37.00 / $39.50	Facility	QK	$37.00	$37.00	$39.50
Wellcare Facility/Professional Facility Modifier QX Low / Median / High Price $37.00 / $37.00 / $39.50	Facility	QX	$37.00	$37.00	$39.50
Wellcare Facility/Professional Facility Modifier QY Low / Median / High Price $37.00 / $37.00 / $39.50	Facility	QY	$37.00	$37.00	$39.50