Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional	AA	$1,000.00	$1,000.00	$1,000.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $1,513.56 / $1,548.82 / $2,570.40	Professional	QZ	$1,513.56	$1,548.82	$2,570.40
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $218.78 / $218.78 / $269.15	Professional	QZ	$218.78	$218.78	$269.15
Medica Facility/Professional Facility Modifier QK Low / Median / High Price $39.81 / $39.81 / $39.81	Facility	QK	$39.81	$39.81	$39.81
Medica Facility/Professional Facility Modifier QX Low / Median / High Price $39.81 / $39.81 / $39.81	Facility	QX	$39.81	$39.81	$39.81
Medica Facility/Professional Facility Modifier QY Low / Median / High Price $39.81 / $39.81 / $39.81	Facility	QY	$39.81	$39.81	$39.81