Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $493.50 / $806.40 / $953.70	Facility	QX	$493.50	$806.40	$953.70
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $838.39 / $1,233.63 / $1,680.00	Professional	AA	$838.39	$1,233.63	$1,680.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $465.60 / $589.00 / $693.00	Professional	QZ	$465.60	$589.00	$693.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $533.50 / $814.00 / $888.00	Professional	AA	$533.50	$814.00	$888.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $467.29 / $1,278.00 / $1,846.00	Professional	QZ	$467.29	$1,278.00	$1,846.00
Wellcare Facility/Professional Facility Modifier QK Low / Median / High Price $37.00 / $37.00 / $39.50	Facility	QK	$37.00	$37.00	$39.50
Wellcare Facility/Professional Facility Modifier QX Low / Median / High Price $37.00 / $37.00 / $39.50	Facility	QX	$37.00	$37.00	$39.50
Wellcare Facility/Professional Facility Modifier QY Low / Median / High Price $37.00 / $37.00 / $39.50	Facility	QY	$37.00	$37.00	$39.50