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 $173.78 / $954.99 / $954.99	Professional	QZ	$173.78	$954.99	$954.99
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional	AA	$1,258.93	$1,258.93	$1,258.93
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $199.53 / $269.15 / $776.25	Professional	QZ	$199.53	$269.15	$776.25
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