Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,122.02 / $2,089.30 / $2,818.38	Professional	AA	$1,122.02	$2,089.30	$2,818.38
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $117.49 / $117.49 / $128.82	Professional	QZ	$117.49	$117.49	$128.82
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional	AA	$1,230.27	$1,230.27	$1,230.27
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $141.25 / $162.18 / $218.78	Professional	QZ	$141.25	$162.18	$218.78
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