Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $302.00	Facility		$39.81	$39.81	$302.00
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $354.81 / $1,000.00 / $1,230.27	Professional	AA	$354.81	$1,000.00	$1,230.27
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $251.19 / $407.38 / $616.60	Professional	QK	$251.19	$407.38	$616.60
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $245.47 / $380.19 / $602.56	Professional	QX	$245.47	$380.19	$602.56
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $257.04 / $309.03 / $489.78	Professional	QY	$257.04	$309.03	$489.78
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $100.00 / $281.84 / $870.96	Professional	QZ	$100.00	$281.84	$870.96
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $117.49 / $120.23 / $138.04	Professional	AA	$117.49	$120.23	$138.04
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $70.79 / $89.13 / $295.12	Professional	QK	$70.79	$89.13	$295.12
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $60.26 / $89.13 / $257.04	Professional	QX	$60.26	$89.13	$257.04
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $60.26 / $60.26 / $60.26	Professional	QY	$60.26	$60.26	$60.26
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $120.23 / $141.25 / $323.59	Professional	QZ	$120.23	$141.25	$323.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $81.28	Facility		$39.81	$39.81	$81.28