Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,348.96 / $2,041.74 / $2,691.53	Professional	AA	$1,348.96	$2,041.74	$2,691.53
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $263.03 / $263.03 / $954.99	Professional	AA	$263.03	$263.03	$954.99
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $275.42 / $281.84 / $1,122.02	Professional	QZ	$275.42	$281.84	$1,122.02
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