Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $616.60 / $616.60 / $616.60	Facility	QZ	$616.60	$616.60	$616.60
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $537.03 / $831.76 / $1,412.54	Professional	AA	$537.03	$831.76	$1,412.54
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $104.71 / $302.00 / $354.81	Professional	AA	$104.71	$302.00	$354.81
Medica Facility/Professional Facility Modifier QK Low / Median / High Price $39.81 / $39.81 / $39.81	Facility	QK	$39.81	$39.81	$39.81
Medica Facility/Professional Facility Modifier QX Low / Median / High Price $39.81 / $39.81 / $39.81	Facility	QX	$39.81	$39.81	$39.81
Medica Facility/Professional Facility Modifier QY Low / Median / High Price $39.81 / $39.81 / $39.81	Facility	QY	$39.81	$39.81	$39.81