Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $346.74 / $616.60	Facility		$239.88	$346.74	$616.60
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $524.81 / $524.81 / $724.44	Professional	AA	$524.81	$524.81	$724.44
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $524.81 / $691.83 / $912.01	Professional	QX	$524.81	$691.83	$912.01
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $95.50 / $331.13 / $549.54	Professional	QZ	$95.50	$331.13	$549.54
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $64.57 / $64.57 / $194.98	Professional	QX	$64.57	$64.57	$194.98
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $104.71 / $144.54 / $323.59	Professional	QZ	$104.71	$144.54	$323.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $2,238.72 / $3,981.07	Facility		$33.11	$2,238.72	$3,981.07
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Wellcare Facility/Professional Facility Modifier QK Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	QK	$52.48	$52.48	$52.48
Wellcare Facility/Professional Facility Modifier QX Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	QX	$52.48	$52.48	$52.48
Wellcare Facility/Professional Facility Modifier QY Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	QY	$52.48	$52.48	$52.48