Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $980.00 / $1,260.00 / $1,400.00	Professional	AA	$980.00	$1,260.00	$1,400.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $160.47 / $1,066.00 / $1,560.00	Professional	AA	$160.47	$1,066.00	$1,560.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $660.00 / $700.00 / $1,690.00	Professional	QZ	$660.00	$700.00	$1,690.00
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