Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $912.01 / $1,548.82 / $2,344.23	Professional	AA	$912.01	$1,548.82	$2,344.23
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Professional	QZ	$2,187.76	$2,187.76	$2,187.76
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $223.87 / $223.87 / $223.87	Professional	AA	$223.87	$223.87	$223.87
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $194.98 / $257.04 / $263.03	Professional	QZ	$194.98	$257.04	$263.03
Medica Facility/Professional Facility Modifier QK Low / Median / High Price $39.81 / $39.81 / $52.48	Facility	QK	$39.81	$39.81	$52.48
Medica Facility/Professional Facility Modifier QX Low / Median / High Price $39.81 / $39.81 / $52.48	Facility	QX	$39.81	$39.81	$52.48
Medica Facility/Professional Facility Modifier QY Low / Median / High Price $39.81 / $39.81 / $52.48	Facility	QY	$39.81	$39.81	$52.48