Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $588.84	Facility		$38.02	$38.02	$588.84
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $660.69 / $870.96 / $2,630.27	Professional	AA	$660.69	$870.96	$2,630.27
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $380.19 / $524.81 / $724.44	Professional	QK	$380.19	$524.81	$724.44
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $134.90 / $512.86 / $758.58	Professional	QX	$134.90	$512.86	$758.58
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $588.84 / $602.56 / $602.56	Professional	QZ	$588.84	$602.56	$602.56
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $177.83 / $257.04 / $1,047.13	Professional	AA	$177.83	$257.04	$1,047.13
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $91.20 / $91.20 / $426.58	Professional	QK	$91.20	$91.20	$426.58
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $81.28 / $131.83 / $426.58	Professional	QX	$81.28	$131.83	$426.58
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $181.97 / $199.53 / $562.34	Professional	QZ	$181.97	$199.53	$562.34
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $524.81 / $812.83	Professional		$389.05	$524.81	$812.83