Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $660.69 / $741.31 / $933.25	Professional	AA	$660.69	$741.31	$933.25
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $302.00 / $380.19 / $660.69	Professional	QX	$302.00	$380.19	$660.69
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $331.13 / $416.87 / $1,023.29	Professional	QY	$331.13	$416.87	$1,023.29
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $100.00 / $354.81 / $1,348.96	Professional	QZ	$100.00	$354.81	$1,348.96
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $173.78 / $173.78 / $1,047.13	Professional	AA	$173.78	$173.78	$1,047.13
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $74.13 / $75.86 / $758.58	Professional	QX	$74.13	$75.86	$758.58
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $123.03 / $144.54 / $309.03	Professional	QZ	$123.03	$144.54	$309.03
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