Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,680.00 / $1,896.99 / $2,400.00	Professional	AA	$1,680.00	$1,896.99	$2,400.00
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $825.00 / $954.00 / $1,248.75	Professional	QX	$825.00	$954.00	$1,248.75
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $720.00 / $1,080.00 / $2,080.00	Professional	AA	$720.00	$1,080.00	$2,080.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $200.40 / $200.40 / $200.40	Professional	QZ	$200.40	$200.40	$200.40
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