Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $724.44 / $1,513.56 / $2,691.53	Professional	AA	$724.44	$1,513.56	$2,691.53
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $208.93 / $707.95 / $1,737.80	Professional	QZ	$208.93	$707.95	$1,737.80
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $181.97 / $741.31 / $1,445.44	Professional	AA	$181.97	$741.31	$1,445.44
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $158.49 / $223.87 / $851.14	Professional	QZ	$158.49	$223.87	$851.14
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