Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $537.03 / $1,122.02 / $2,089.30	Professional	AA	$537.03	$1,122.02	$2,089.30
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $208.93 / $588.84 / $1,513.56	Professional	QZ	$208.93	$588.84	$1,513.56
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $117.49 / $416.87 / $1,230.27	Professional	AA	$117.49	$416.87	$1,230.27
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $138.04 / $199.53 / $416.87	Professional	QZ	$138.04	$199.53	$416.87
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