Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $696.60 / $696.60 / $696.60	Facility	QX	$696.60	$696.60	$696.60
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $671.40 / $671.40 / $671.40	Facility	QZ	$671.40	$671.40	$671.40
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $376.02 / $980.00 / $1,700.00	Professional	AA	$376.02	$980.00	$1,700.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $540.00 / $910.00 / $1,001.00	Professional	AA	$540.00	$910.00	$1,001.00
Medica Facility/Professional Facility Modifier QK Low / Median / High Price $39.50 / $39.50 / $52.00	Facility	QK	$39.50	$39.50	$52.00
Medica Facility/Professional Facility Modifier QX Low / Median / High Price $39.50 / $39.50 / $52.00	Facility	QX	$39.50	$39.50	$52.00
Medica Facility/Professional Facility Modifier QY Low / Median / High Price $39.50 / $39.50 / $52.00	Facility	QY	$39.50	$39.50	$52.00