Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $614.08 / $614.08 / $614.08	Professional	QX	$614.08	$614.08	$614.08
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $1,113.00 / $1,335.60 / $1,500.00	Professional	QZ	$1,113.00	$1,335.60	$1,500.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $102.20 / $420.00 / $880.00	Professional	AA	$102.20	$420.00	$880.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $98.20 / $330.00 / $420.00	Professional	QZ	$98.20	$330.00	$420.00
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