Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $398.11 / $776.25 / $1,548.82	Professional	AA	$398.11	$776.25	$1,548.82
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $117.49 / $346.74 / $446.68	Professional	AA	$117.49	$346.74	$446.68
Medica Facility/Professional Facility Modifier QK Low / Median / High Price $39.81 / $39.81 / $39.81	Facility	QK	$39.81	$39.81	$39.81
Medica Facility/Professional Facility Modifier QX Low / Median / High Price $39.81 / $39.81 / $39.81	Facility	QX	$39.81	$39.81	$39.81
Medica Facility/Professional Facility Modifier QY Low / Median / High Price $39.81 / $39.81 / $39.81	Facility	QY	$39.81	$39.81	$39.81
Qualchoice Facility/Professional Professional Modifier AA Low / Median / High Price $467.74 / $467.74 / $467.74	Professional	AA	$467.74	$467.74	$467.74