Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $724.44 / $1,318.26 / $2,238.72	Professional	AA	$724.44	$1,318.26	$2,238.72
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $831.76 / $831.76 / $831.76	Professional	QZ	$831.76	$831.76	$831.76
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $1,000.00 / $1,000.00 / $1,096.48	Professional	AA	$1,000.00	$1,000.00	$1,096.48
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $147.91 / $147.91 / $147.91	Professional	QZ	$147.91	$147.91	$147.91
Medica Facility/Professional Facility Modifier QK Low / Median / High Price $39.81 / $39.81 / $52.48	Facility	QK	$39.81	$39.81	$52.48
Medica Facility/Professional Facility Modifier QX Low / Median / High Price $39.81 / $39.81 / $52.48	Facility	QX	$39.81	$39.81	$52.48
Medica Facility/Professional Facility Modifier QY Low / Median / High Price $39.81 / $39.81 / $52.48	Facility	QY	$39.81	$39.81	$52.48