Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $2,419.34 / $2,419.34 / $2,419.34	Facility	QX	$2,419.34	$2,419.34	$2,419.34
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $806.60 / $1,700.73 / $1,700.73	Professional	AA	$806.60	$1,700.73	$1,700.73
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $77.54 / $544.70 / $588.89	Professional	QX	$77.54	$544.70	$588.89
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $436.50 / $436.50 / $1,036.00	Professional	AA	$436.50	$436.50	$1,036.00
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $299.97 / $299.97 / $467.50	Professional	QX	$299.97	$299.97	$467.50
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $78.52 / $78.52 / $78.52	Professional	QY	$78.52	$78.52	$78.52
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $1,704.00 / $1,988.00 / $2,272.00	Professional	QZ	$1,704.00	$1,988.00	$2,272.00
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