Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,260.00 / $1,400.00 / $1,540.00	Professional	AA	$1,260.00	$1,400.00	$1,540.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $137.35 / $1,200.00 / $1,526.25	Professional	QZ	$137.35	$1,200.00	$1,526.25
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $480.00 / $560.00 / $656.00	Professional	AA	$480.00	$560.00	$656.00
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