Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $77.62 / $501.19 / $933.25	Professional	AA	$77.62	$501.19	$933.25
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $245.47 / $389.05 / $588.84	Professional	QX	$245.47	$389.05	$588.84
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $269.15 / $389.05 / $398.11	Professional	QY	$269.15	$389.05	$398.11
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $72.44 / $269.15 / $602.56	Professional	QZ	$72.44	$269.15	$602.56
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $52.48 / $346.74 / $616.60	Professional	QX	$52.48	$346.74	$616.60
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $81.28 / $102.33 / $323.59	Professional	QZ	$81.28	$102.33	$323.59
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