Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $813.12 / $813.12 / $813.12	Facility	QX	$813.12	$813.12	$813.12
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,952.25 / $1,952.25 / $1,952.25	Professional	AA	$1,952.25	$1,952.25	$1,952.25
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $1,406.00 / $1,406.00 / $1,406.00	Professional	AA	$1,406.00	$1,406.00	$1,406.00
Wellcare Facility/Professional Facility Modifier QK Low / Median / High Price $37.00 / $37.00 / $39.50	Facility	QK	$37.00	$37.00	$39.50
Wellcare Facility/Professional Facility Modifier QX Low / Median / High Price $37.00 / $37.00 / $39.50	Facility	QX	$37.00	$37.00	$39.50
Wellcare Facility/Professional Facility Modifier QY Low / Median / High Price $37.00 / $37.00 / $39.50	Facility	QY	$37.00	$37.00	$39.50