Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.45 / $325.00 / $445.05	Facility		$223.45	$325.00	$445.05
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $146.21 / $146.21 / $529.29	Professional	AA	$146.21	$146.21	$529.29
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $255.00 / $255.00 / $306.00	Professional	QZ	$255.00	$255.00	$306.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $2,615.98 / $3,041.64	Facility		$42.84	$2,615.98	$3,041.64
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
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $293.25 / $293.25 / $293.25	Professional	QZ	$293.25	$293.25	$293.25