Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,023.29 / $1,513.56 / $2,398.83	Professional	AA	$1,023.29	$1,513.56	$2,398.83
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $707.95 / $707.95 / $707.95	Professional	AA	$707.95	$707.95	$707.95
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $208.93 / $416.87 / $977.24	Professional	QZ	$208.93	$416.87	$977.24
Medica Facility/Professional Facility Modifier QK Low / Median / High Price $39.81 / $39.81 / $39.81	Facility	QK	$39.81	$39.81	$39.81
Medica Facility/Professional Facility Modifier QX Low / Median / High Price $39.81 / $39.81 / $39.81	Facility	QX	$39.81	$39.81	$39.81
Medica Facility/Professional Facility Modifier QY Low / Median / High Price $39.81 / $39.81 / $39.81	Facility	QY	$39.81	$39.81	$39.81
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $870.96 / $870.96 / $870.96	Professional	QZ	$870.96	$870.96	$870.96