Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $575.98 / $575.98 / $575.98	Professional	QX	$575.98	$575.98	$575.98
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $1,050.00 / $1,050.00 / $1,050.00	Professional	QZ	$1,050.00	$1,050.00	$1,050.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $420.00 / $420.00 / $770.00	Professional	AA	$420.00	$420.00	$770.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $98.20 / $275.00 / $490.00	Professional	QZ	$98.20	$275.00	$490.00
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