Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $323.59 / $478.63	Facility		$39.81	$323.59	$478.63
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $602.56 / $1,479.11 / $2,041.74	Professional	AA	$602.56	$1,479.11	$2,041.74
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $416.87 / $588.84 / $870.96	Professional	QK	$416.87	$588.84	$870.96
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $416.87 / $602.56 / $870.96	Professional	QX	$416.87	$602.56	$870.96
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $165.96 / $1,047.13 / $1,288.25	Professional	QZ	$165.96	$1,047.13	$1,288.25
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $177.83 / $199.53 / $1,071.52	Professional	AA	$177.83	$199.53	$1,071.52
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $91.20 / $141.25 / $338.84	Professional	QK	$91.20	$141.25	$338.84
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $131.83 / $131.83 / $338.84	Professional	QX	$131.83	$131.83	$338.84
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $218.78 / $263.03 / $1,071.52	Professional	QZ	$218.78	$263.03	$1,071.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $81.28	Facility		$39.81	$39.81	$81.28