Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $446.68 / $446.68 / $446.68	Facility	QX	$446.68	$446.68	$446.68
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $933.25 / $1,698.24 / $2,570.40	Professional	AA	$933.25	$1,698.24	$2,570.40
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $691.83 / $933.25 / $1,380.38	Professional	QZ	$691.83	$933.25	$1,380.38
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $512.86 / $1,047.13 / $1,258.93	Professional	AA	$512.86	$1,047.13	$1,258.93
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $144.54 / $426.58 / $2,691.53	Professional	QZ	$144.54	$426.58	$2,691.53
Wellcare Facility/Professional Facility Modifier QK Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	QK	$52.48	$52.48	$52.48
Wellcare Facility/Professional Facility Modifier QX Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	QX	$52.48	$52.48	$52.48
Wellcare Facility/Professional Facility Modifier QY Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	QY	$52.48	$52.48	$52.48