Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $523.60 / $552.72 / $552.72	Facility	QX	$523.60	$552.72	$552.72
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $922.23 / $1,149.79 / $1,644.50	Professional	AA	$922.23	$1,149.79	$1,644.50
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $582.00 / $740.00 / $962.00	Professional	AA	$582.00	$740.00	$962.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $700.00 / $700.00 / $1,820.00	Professional	QZ	$700.00	$700.00	$1,820.00
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