Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $446.68 / $1,096.48	Facility		$32.36	$446.68	$1,096.48
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $575.44 / $575.44 / $575.44	Facility	QZ	$575.44	$575.44	$575.44
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $524.81 / $660.69 / $933.25	Professional	AA	$524.81	$660.69	$933.25
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $269.15 / $363.08 / $776.25	Professional	QK	$269.15	$363.08	$776.25
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $269.15 / $363.08 / $741.31	Professional	QX	$269.15	$363.08	$741.31
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $245.47 / $363.08 / $933.25	Professional	QY	$245.47	$363.08	$933.25
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $288.40 / $630.96 / $977.24	Professional	QZ	$288.40	$630.96	$977.24
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $123.03 / $158.49 / $288.40	Professional	AA	$123.03	$158.49	$288.40
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $85.11 / $107.15 / $234.42	Professional	QK	$85.11	$107.15	$234.42
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $85.11 / $107.15 / $269.15	Professional	QX	$85.11	$107.15	$269.15
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $169.82 / $169.82 / $269.15	Professional	QY	$169.82	$169.82	$269.15
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $117.49 / $138.04 / $812.83	Professional	QZ	$117.49	$138.04	$812.83