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 $264.37 / $600.00 / $600.00	Professional	AA	$264.37	$600.00	$600.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $278.07 / $278.07 / $417.11	Professional	QZ	$278.07	$278.07	$417.11
Medica Facility/Professional Facility Modifier QK Low / Median / High Price $39.50 / $39.50 / $39.50	Facility	QK	$39.50	$39.50	$39.50
Medica Facility/Professional Facility Modifier QX Low / Median / High Price $39.50 / $39.50 / $39.50	Facility	QX	$39.50	$39.50	$39.50
Medica Facility/Professional Facility Modifier QY Low / Median / High Price $39.50 / $39.50 / $39.50	Facility	QY	$39.50	$39.50	$39.50