Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,120.00 / $1,540.00 / $1,540.00	Professional	AA	$1,120.00	$1,540.00	$1,540.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $1,230.00 / $1,230.00 / $1,950.00	Professional	AA	$1,230.00	$1,230.00	$1,950.00
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
United Facility/Professional Professional Modifier QZ Low / Median / High Price $75.00 / $75.00 / $75.00	Professional	QZ	$75.00	$75.00	$75.00