Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $612.85 / $612.85 / $612.85	Facility	QZ	$612.85	$612.85	$612.85
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $588.24 / $980.00 / $1,700.00	Professional	AA	$588.24	$980.00	$1,700.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $139.04 / $450.00 / $1,321.84	Professional	AA	$139.04	$450.00	$1,321.84
Medica Facility/Professional Facility Modifier QK Low / Median / High Price $39.50 / $39.50 / $39.50	Facility	QK	$39.50	$39.50	$39.50
Medica Facility/Professional Facility Modifier QX Low / Median / High Price $39.50 / $39.50 / $39.50	Facility	QX	$39.50	$39.50	$39.50
Medica Facility/Professional Facility Modifier QY Low / Median / High Price $39.50 / $39.50 / $39.50	Facility	QY	$39.50	$39.50	$39.50