Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $276.36 / $276.36 / $6,231.36	Facility	QX	$276.36	$276.36	$6,231.36
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $670.71 / $850.37 / $1,042.00	Professional	AA	$670.71	$850.37	$1,042.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $307.20 / $341.00 / $377.60	Professional	QZ	$307.20	$341.00	$377.60
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $518.00 / $518.00 / $592.00	Professional	AA	$518.00	$518.00	$592.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $900.00 / $900.00 / $1,420.00	Professional	QZ	$900.00	$900.00	$1,420.00
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