Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $576.79 / $1,722.00 / $2,106.00	Facility		$576.79	$1,722.00	$2,106.00
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $999.60 / $1,386.72 / $2,007.20	Professional	AA	$999.60	$1,386.72	$2,007.20
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $356.67 / $356.67 / $356.67	Professional	QK	$356.67	$356.67	$356.67
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $84.00 / $422.86 / $1,230.23	Professional	QX	$84.00	$422.86	$1,230.23
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $1,375.00 / $1,375.00 / $1,375.00	Professional	AA	$1,375.00	$1,375.00	$1,375.00
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $84.36 / $84.36 / $205.63	Professional	QK	$84.36	$84.36	$205.63
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Facility		$600.00	$600.00	$600.00