Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $603.33 / $1,260.00 / $1,540.00	Professional	AA	$603.33	$1,260.00	$1,540.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $1,053.93 / $1,053.93 / $1,053.93	Professional	QZ	$1,053.93	$1,053.93	$1,053.93
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $400.00 / $400.00 / $450.00	Professional	AA	$400.00	$400.00	$450.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $135.72 / $135.72 / $193.90	Professional	QZ	$135.72	$135.72	$193.90
Medica Facility/Professional Facility Modifier QK Low / Median / High Price $39.50 / $39.50 / $39.50	Facility	QK	$39.50	$39.50	$39.50
Medica Facility/Professional Facility Modifier QX Low / Median / High Price $39.50 / $39.50 / $39.50	Facility	QX	$39.50	$39.50	$39.50
Medica Facility/Professional Facility Modifier QY Low / Median / High Price $39.50 / $39.50 / $39.50	Facility	QY	$39.50	$39.50	$39.50