Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $48.00 / $544.00	Facility		$40.00	$48.00	$544.00
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $109.26 / $109.26 / $172.00	Professional	QK	$109.26	$109.26	$172.00
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $93.19 / $93.19 / $272.25	Professional	QX	$93.19	$93.19	$272.25
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $180.45 / $612.00 / $663.00	Professional	AA	$180.45	$612.00	$663.00
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $117.76 / $183.88 / $676.00	Professional	QK	$117.76	$183.88	$676.00
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $114.01 / $183.88 / $416.00	Professional	QX	$114.01	$183.88	$416.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $195.10 / $195.10 / $1,298.00	Professional	QZ	$195.10	$195.10	$1,298.00