Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $676.08 / $676.08 / $5,011.87	Facility	QX	$676.08	$676.08	$5,011.87
Wellcare Facility/Professional Facility Modifier QK Low / Median / High Price $112.20 / $112.20 / $112.20	Facility	QK	$112.20	$112.20	$112.20
Wellcare Facility/Professional Facility Modifier QX Low / Median / High Price $112.20 / $112.20 / $112.20	Facility	QX	$112.20	$112.20	$112.20
Wellcare Facility/Professional Facility Modifier QY Low / Median / High Price $112.20 / $112.20 / $112.20	Facility	QY	$112.20	$112.20	$112.20