Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $1,698.24 / $2,398.83 / $3,019.95	Professional	QZ	$1,698.24	$2,398.83	$3,019.95
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $234.42 / $257.04 / $602.56	Professional	QZ	$234.42	$257.04	$602.56
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