Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $562.34 / $724.44	Facility		$478.63	$562.34	$724.44
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $794.33 / $1,047.13 / $1,737.80	Professional	AA	$794.33	$1,047.13	$1,737.80
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $323.59 / $524.81 / $676.08	Professional	QK	$323.59	$524.81	$676.08
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $380.19 / $524.81 / $794.33	Professional	QX	$380.19	$524.81	$794.33
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $173.78 / $1,412.54 / $1,412.54	Professional	QZ	$173.78	$1,412.54	$1,412.54
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $933.25 / $933.25 / $933.25	Professional	AA	$933.25	$933.25	$933.25
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $169.82 / $169.82 / $331.13	Professional	QK	$169.82	$169.82	$331.13
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $154.88 / $181.97 / $407.38	Professional	QX	$154.88	$181.97	$407.38
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $199.53 / $199.53 / $199.53	Professional	QZ	$199.53	$199.53	$199.53