Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $980.00 / $1,650.00 / $2,240.00	Professional	AA	$980.00	$1,650.00	$2,240.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $984.00 / $1,430.00 / $5,590.00	Professional	AA	$984.00	$1,430.00	$5,590.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $700.00 / $1,190.00 / $2,210.00	Professional	QZ	$700.00	$1,190.00	$2,210.00
Medica Facility/Professional Facility Modifier QK Low / Median / High Price $39.50 / $39.50 / $52.00	Facility	QK	$39.50	$39.50	$52.00
Medica Facility/Professional Facility Modifier QX Low / Median / High Price $39.50 / $39.50 / $52.00	Facility	QX	$39.50	$39.50	$52.00
Medica Facility/Professional Facility Modifier QY Low / Median / High Price $39.50 / $39.50 / $52.00	Facility	QY	$39.50	$39.50	$52.00