Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $357.00 / $357.00 / $357.00	Facility	QX	$357.00	$357.00	$357.00
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,652.83 / $1,652.83 / $1,652.83	Professional	AA	$1,652.83	$1,652.83	$1,652.83
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $137.50 / $137.50 / $137.50	Professional	QZ	$137.50	$137.50	$137.50
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $1,702.00 / $1,702.00 / $1,702.00	Professional	AA	$1,702.00	$1,702.00	$1,702.00
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