Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $359.10 / $454.02 / $598.40	Facility	QX	$359.10	$454.02	$598.40
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $814.20 / $885.50 / $1,003.00	Professional	AA	$814.20	$885.50	$1,003.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $421.60 / $421.60 / $421.60	Professional	QZ	$421.60	$421.60	$421.60
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $518.00 / $592.00 / $1,332.00	Professional	AA	$518.00	$592.00	$1,332.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $255.00 / $255.00 / $1,136.00	Professional	QZ	$255.00	$255.00	$1,136.00
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