Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,282.69 / $1,727.19 / $2,520.00	Professional	AA	$1,282.69	$1,727.19	$2,520.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $650.00 / $650.00 / $900.00	Professional	AA	$650.00	$650.00	$900.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $252.07 / $301.24 / $329.63	Professional	QZ	$252.07	$301.24	$329.63
Medica Facility/Professional Facility Modifier QK Low / Median / High Price $39.50 / $39.50 / $39.50	Facility	QK	$39.50	$39.50	$39.50
Medica Facility/Professional Facility Modifier QX Low / Median / High Price $39.50 / $39.50 / $39.50	Facility	QX	$39.50	$39.50	$39.50
Medica Facility/Professional Facility Modifier QY Low / Median / High Price $39.50 / $39.50 / $39.50	Facility	QY	$39.50	$39.50	$39.50