Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.50 / $448.00 / $528.00	Facility		$46.50	$448.00	$528.00
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $378.20 / $387.50 / $415.40	Professional	QK	$378.20	$387.50	$415.40
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $393.70 / $415.40 / $461.90	Professional	QX	$393.70	$415.40	$461.90
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $427.80 / $468.00 / $468.00	Professional	QZ	$427.80	$468.00	$468.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $280.83 / $289.88 / $650.00	Professional	AA	$280.83	$289.88	$650.00
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $87.26 / $175.53 / $585.00	Professional	QK	$87.26	$175.53	$585.00
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $118.86 / $122.64 / $144.94	Professional	QX	$118.86	$122.64	$144.94
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $193.90 / $213.29 / $267.58	Professional	QZ	$193.90	$213.29	$267.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $82.00 / $3,120.00	Facility		$42.84	$82.00	$3,120.00