Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $402.05 / $402.05 / $3,583.02	Facility	QX	$402.05	$402.05	$3,583.02
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $690.00 / $898.28 / $1,580.96	Professional	AA	$690.00	$898.28	$1,580.96
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $592.00 / $592.00 / $666.00	Professional	AA	$592.00	$592.00	$666.00
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