Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $870.96 / $977.24	Facility		$39.81	$870.96	$977.24
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $562.34 / $562.34 / $562.34	Facility	QX	$562.34	$562.34	$562.34
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility	QZ	$1,288.25	$1,288.25	$1,288.25
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $389.05 / $741.31 / $1,096.48	Professional	AA	$389.05	$741.31	$1,096.48
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $186.21 / $338.84 / $602.56	Professional	QK	$186.21	$338.84	$602.56
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $190.55 / $338.84 / $616.60	Professional	QX	$190.55	$338.84	$616.60
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $223.87 / $309.03 / $588.84	Professional	QY	$223.87	$309.03	$588.84
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $263.03 / $549.54 / $933.25	Professional	QZ	$263.03	$549.54	$933.25
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $120.23 / $275.42 / $776.25	Professional	AA	$120.23	$275.42	$776.25
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $63.10 / $128.82 / $457.09	Professional	QK	$63.10	$128.82	$457.09
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $61.66 / $125.89 / $489.78	Professional	QX	$61.66	$125.89	$489.78
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $61.66 / $138.04 / $478.63	Professional	QY	$61.66	$138.04	$478.63
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $117.49 / $169.82 / $891.25	Professional	QZ	$117.49	$169.82	$891.25