Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $309.03 / $2,089.30 / $2,818.38	Professional	AA	$309.03	$2,089.30	$2,818.38
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $117.49 / $933.25 / $1,148.15	Professional	QZ	$117.49	$933.25	$1,148.15
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $173.78 / $218.78 / $1,288.25	Professional	QZ	$173.78	$218.78	$1,288.25
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