Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,680.00 / $1,820.00 / $2,100.00	Professional	AA	$1,680.00	$1,820.00	$2,100.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $1,560.00 / $1,560.00 / $1,560.00	Professional	AA	$1,560.00	$1,560.00	$1,560.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $220.44 / $560.00 / $560.00	Professional	QZ	$220.44	$560.00	$560.00
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