Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $146.21 / $146.21 / $146.21	Professional	AA	$146.21	$146.21	$146.21
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $350.00 / $350.00 / $660.00	Professional	AA	$350.00	$350.00	$660.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $70.14 / $70.14 / $420.00	Professional	QZ	$70.14	$70.14	$420.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $82.00 / $3,745.00	Facility		$35.00	$82.00	$3,745.00
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