Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $354.81 / $676.08 / $676.08	Facility	QX	$354.81	$676.08	$676.08
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $933.25 / $1,445.44 / $2,570.40	Professional	AA	$933.25	$1,445.44	$2,570.40
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $138.04 / $794.33 / $1,122.02	Professional	QZ	$138.04	$794.33	$1,122.02
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $218.78 / $257.04 / $1,258.93	Professional	AA	$218.78	$257.04	$1,258.93
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $194.98 / $263.03 / $1,023.29	Professional	QZ	$194.98	$263.03	$1,023.29
Wellcare Facility/Professional Facility Modifier QK Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	QK	$52.48	$52.48	$52.48
Wellcare Facility/Professional Facility Modifier QX Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	QX	$52.48	$52.48	$52.48
Wellcare Facility/Professional Facility Modifier QY Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	QY	$52.48	$52.48	$52.48