Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $707.95 / $1,513.56 / $2,570.40	Professional	AA	$707.95	$1,513.56	$2,570.40
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $436.52 / $1,148.15 / $2,344.23	Professional	QZ	$436.52	$1,148.15	$2,344.23
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $181.97 / $575.44 / $1,548.82	Professional	AA	$181.97	$575.44	$1,548.82
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $141.25 / $295.12 / $660.69	Professional	QZ	$141.25	$295.12	$660.69
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