Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $315.56 / $315.56 / $479.08	Facility	QX	$315.56	$315.56	$479.08
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $885.50 / $1,197.70 / $1,880.39	Professional	AA	$885.50	$1,197.70	$1,880.39
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $436.50 / $436.50 / $592.00	Professional	AA	$436.50	$436.50	$592.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $520.00 / $520.00 / $1,420.00	Professional	QZ	$520.00	$520.00	$1,420.00
Wellcare Facility/Professional Facility Modifier QK Low / Median / High Price $37.00 / $37.00 / $39.50	Facility	QK	$37.00	$37.00	$39.50
Wellcare Facility/Professional Facility Modifier QX Low / Median / High Price $37.00 / $37.00 / $39.50	Facility	QX	$37.00	$37.00	$39.50
Wellcare Facility/Professional Facility Modifier QY Low / Median / High Price $37.00 / $37.00 / $39.50	Facility	QY	$37.00	$37.00	$39.50