Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $43.65 / $851.14	Facility		$39.81	$43.65	$851.14
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $724.44 / $851.14 / $1,778.28	Facility	QZ	$724.44	$851.14	$1,778.28
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $371.54 / $602.56 / $977.24	Professional	AA	$371.54	$602.56	$977.24
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $158.49 / $323.59 / $512.86	Professional	QK	$158.49	$323.59	$512.86
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $162.18 / $295.12 / $489.78	Professional	QX	$162.18	$295.12	$489.78
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $204.17 / $295.12 / $416.87	Professional	QY	$204.17	$295.12	$416.87
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $281.84 / $501.19 / $707.95	Professional	QZ	$281.84	$501.19	$707.95
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $117.49 / $141.25 / $218.78	Professional	AA	$117.49	$141.25	$218.78
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $57.54 / $81.28 / $104.71	Professional	QK	$57.54	$81.28	$104.71
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $57.54 / $70.79 / $97.72	Professional	QX	$57.54	$70.79	$97.72
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $48.98 / $67.61 / $120.23	Professional	QY	$48.98	$67.61	$120.23
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $117.49 / $141.25 / $223.87	Professional	QZ	$117.49	$141.25	$223.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $50.12 / $3,090.30	Facility		$42.66	$50.12	$3,090.30