Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $645.65 / $1,202.26 / $1,737.80	Professional	AA	$645.65	$1,202.26	$1,737.80
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $1,445.44 / $1,445.44 / $1,698.24	Professional	QZ	$1,445.44	$1,445.44	$1,698.24
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $162.18 / $162.18 / $162.18	Professional	QZ	$162.18	$162.18	$162.18
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