Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $251.10 / $251.10 / $251.10	Facility	QX	$251.10	$251.10	$251.10
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $470.40 / $1,120.00 / $1,820.00	Professional	AA	$470.40	$1,120.00	$1,820.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $490.00 / $770.00 / $1,500.00	Professional	AA	$490.00	$770.00	$1,500.00
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