Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $954.99 / $954.99 / $954.99	Facility	QX	$954.99	$954.99	$954.99
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $724.44 / $1,412.54 / $2,398.83	Professional	AA	$724.44	$1,412.54	$2,398.83
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $117.49 / $363.08 / $933.25	Professional	AA	$117.49	$363.08	$933.25
Medica Facility/Professional Facility Modifier QK Low / Median / High Price $39.81 / $39.81 / $52.48	Facility	QK	$39.81	$39.81	$52.48
Medica Facility/Professional Facility Modifier QX Low / Median / High Price $39.81 / $39.81 / $52.48	Facility	QX	$39.81	$39.81	$52.48
Medica Facility/Professional Facility Modifier QY Low / Median / High Price $39.81 / $39.81 / $52.48	Facility	QY	$39.81	$39.81	$52.48