Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $3.63 / $4,466.84 / $4,466.84	Facility	QX	$3.63	$4,466.84	$4,466.84
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,174.90 / $2,187.76 / $2,884.03	Professional	AA	$1,174.90	$2,187.76	$2,884.03
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $831.76 / $1,148.15 / $1,412.54	Professional	QZ	$831.76	$1,148.15	$1,412.54
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $398.11 / $1,174.90 / $1,995.26	Professional	AA	$398.11	$1,174.90	$1,995.26
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $346.74 / $588.84 / $2,630.27	Professional	QZ	$346.74	$588.84	$2,630.27
Wellcare Facility/Professional Facility Modifier QK Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	QK	$52.48	$52.48	$52.48
Wellcare Facility/Professional Facility Modifier QX Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	QX	$52.48	$52.48	$52.48
Wellcare Facility/Professional Facility Modifier QY Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	QY	$52.48	$52.48	$52.48