Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $812.83 / $1,513.56 / $3,162.28	Professional	AA	$812.83	$1,513.56	$3,162.28
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $354.81 / $562.34 / $1,122.02	Professional	QK	$354.81	$562.34	$1,122.02
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $389.05 / $549.54 / $891.25	Professional	QX	$389.05	$549.54	$891.25
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $173.78 / $2,187.76 / $3,090.30	Professional	QZ	$173.78	$2,187.76	$3,090.30
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $199.53 / $234.42 / $1,122.02	Professional	AA	$199.53	$234.42	$1,122.02
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $89.13 / $117.49 / $562.34	Professional	QK	$89.13	$117.49	$562.34
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $89.13 / $117.49 / $562.34	Professional	QX	$89.13	$117.49	$562.34
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $199.53 / $302.00 / $707.95	Professional	QZ	$199.53	$302.00	$707.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $104.71 / $3,388.44	Facility		$34.67	$104.71	$3,388.44
Medica Facility/Professional Facility Modifier QK Low / Median / High Price $39.81 / $39.81 / $52.48	Facility	QK	$39.81	$39.81	$52.48
Medica Facility/Professional Facility Modifier QX Low / Median / High Price $39.81 / $39.81 / $52.48	Facility	QX	$39.81	$39.81	$52.48
Medica Facility/Professional Facility Modifier QY Low / Median / High Price $39.81 / $39.81 / $52.48	Facility	QY	$39.81	$39.81	$52.48