Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $67.61 / $338.84	Facility		$39.81	$67.61	$338.84
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $234.42 / $234.42 / $234.42	Facility	QK	$234.42	$234.42	$234.42
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $426.58 / $537.03 / $707.95	Professional	AA	$426.58	$537.03	$707.95
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $245.47 / $338.84 / $512.86	Professional	QK	$245.47	$338.84	$512.86
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $251.19 / $338.84 / $524.81	Professional	QX	$251.19	$338.84	$524.81
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $251.19 / $295.12 / $398.11	Professional	QY	$251.19	$295.12	$398.11
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $100.00 / $204.17 / $602.56	Professional	QZ	$100.00	$204.17	$602.56
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $117.49 / $134.90 / $354.81	Professional	AA	$117.49	$134.90	$354.81
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $60.26 / $89.13 / $416.87	Professional	QK	$60.26	$89.13	$416.87
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $58.88 / $74.13 / $257.04	Professional	QX	$58.88	$74.13	$257.04
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $67.61 / $72.44 / $85.11	Professional	QY	$67.61	$72.44	$85.11
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $117.49 / $147.91 / $354.81	Professional	QZ	$117.49	$147.91	$354.81