Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $363.08	Facility		$38.02	$38.02	$363.08
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $501.19 / $501.19 / $501.19	Facility	AA	$501.19	$501.19	$501.19
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $338.84 / $512.86 / $977.24	Professional	AA	$338.84	$512.86	$977.24
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $251.19 / $331.13 / $416.87	Professional	QK	$251.19	$331.13	$416.87
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $234.42 / $323.59 / $416.87	Professional	QX	$234.42	$323.59	$416.87
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $234.42 / $295.12 / $380.19	Professional	QY	$234.42	$295.12	$380.19
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $331.13 / $446.68 / $724.44	Professional	QZ	$331.13	$446.68	$724.44
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $117.49 / $190.55 / $741.31	Professional	AA	$117.49	$190.55	$741.31
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $74.13 / $91.20 / $295.12	Professional	QK	$74.13	$91.20	$295.12
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $61.66 / $89.13 / $257.04	Professional	QX	$61.66	$89.13	$257.04
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $61.66 / $61.66 / $61.66	Professional	QY	$61.66	$61.66	$61.66
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $117.49 / $144.54 / $389.05	Professional	QZ	$117.49	$144.54	$389.05
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $323.59 / $512.86	Professional		$239.88	$323.59	$512.86