Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $108.07 / $108.07 / $700.00	Professional	AA	$108.07	$108.07	$700.00
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $254.24 / $254.24 / $254.24	Professional	QX	$254.24	$254.24	$254.24
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $85.17 / $105.21 / $550.00	Professional	AA	$85.17	$105.21	$550.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $70.14 / $70.14 / $350.00	Professional	QZ	$70.14	$70.14	$350.00
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