Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $364.03 / $1,680.00 / $2,240.00	Professional	AA	$364.03	$1,680.00	$2,240.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $980.00 / $980.00 / $3,250.00	Professional	AA	$980.00	$980.00	$3,250.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $2,030.00 / $2,030.00 / $2,030.00	Professional	QZ	$2,030.00	$2,030.00	$2,030.00
Medica Facility/Professional Facility Modifier QK Low / Median / High Price $39.50 / $39.50 / $52.00	Facility	QK	$39.50	$39.50	$52.00
Medica Facility/Professional Facility Modifier QX Low / Median / High Price $39.50 / $39.50 / $52.00	Facility	QX	$39.50	$39.50	$52.00
Medica Facility/Professional Facility Modifier QY Low / Median / High Price $39.50 / $39.50 / $52.00	Facility	QY	$39.50	$39.50	$52.00