Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.81 / $390.00 / $730.00	Facility		$33.81	$390.00	$730.00
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $146.21 / $885.00 / $1,274.00	Professional	AA	$146.21	$885.00	$1,274.00
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $404.20 / $451.35 / $559.00	Professional	QX	$404.20	$451.35	$559.00
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $425.85 / $473.00 / $559.00	Professional	QY	$425.85	$473.00	$559.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $139.26 / $831.90 / $1,032.00	Professional	QZ	$139.26	$831.90	$1,032.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $143.36 / $143.36 / $143.36	Professional	QZ	$143.36	$143.36	$143.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $375.00 / $375.00	Facility		$375.00	$375.00	$375.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $176.00 / $176.00 / $176.00	Facility		$176.00	$176.00	$176.00