Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $721.12 / $721.12	Facility		$480.00	$721.12	$721.12
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $304.50 / $680.00 / $690.00	Professional	AA	$304.50	$680.00	$690.00
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $126.07 / $400.42 / $575.00	Professional	QK	$126.07	$400.42	$575.00
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $140.08 / $400.42 / $575.00	Professional	QX	$140.08	$400.42	$575.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $274.05 / $304.50 / $1,380.00	Professional	QZ	$274.05	$304.50	$1,380.00