Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $933.25 / $1,905.46 / $2,630.27	Professional	AA	$933.25	$1,905.46	$2,630.27
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $724.44 / $724.44 / $831.76	Professional	QZ	$724.44	$724.44	$831.76
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $263.03 / $1,230.27 / $2,884.03	Professional	AA	$263.03	$1,230.27	$2,884.03
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $85.11 / $194.98 / $281.84	Professional	QZ	$85.11	$194.98	$281.84
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