Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $938.00 / $7,492.22	Facility		$45.00	$938.00	$7,492.22
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,212.00 / $1,452.00 / $2,606.80	Professional	AA	$1,212.00	$1,452.00	$2,606.80
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $679.45 / $889.00 / $1,227.59	Professional	QK	$679.45	$889.00	$1,227.59
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $658.35 / $781.05 / $1,057.50	Professional	QX	$658.35	$781.05	$1,057.50
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $182.42 / $1,125.30 / $1,587.50	Professional	QZ	$182.42	$1,125.30	$1,587.50
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $334.51 / $1,150.00 / $1,495.00	Professional	AA	$334.51	$1,150.00	$1,495.00
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $139.10 / $540.92 / $1,207.50	Professional	QK	$139.10	$540.92	$1,207.50
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $113.81 / $590.10 / $1,128.00	Professional	QX	$113.81	$590.10	$1,128.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $304.50 / $1,170.00 / $1,610.00	Professional	QZ	$304.50	$1,170.00	$1,610.00
Cigna Facility/Professional Professional Modifier QK Low / Median / High Price $240.00 / $240.00 / $240.00	Professional	QK	$240.00	$240.00	$240.00
Cigna Facility/Professional Professional Modifier QX Low / Median / High Price $240.00 / $240.00 / $240.00	Professional	QX	$240.00	$240.00	$240.00