Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $851.14 / $1,000.00	Facility		$39.81	$851.14	$1,000.00
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $562.34 / $562.34 / $562.34	Facility	QX	$562.34	$562.34	$562.34
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $380.19 / $724.44 / $1,000.00	Professional	AA	$380.19	$724.44	$1,000.00
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $204.17 / $331.13 / $575.44	Professional	QK	$204.17	$331.13	$575.44
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $213.80 / $338.84 / $630.96	Professional	QX	$213.80	$338.84	$630.96
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $208.93 / $331.13 / $575.44	Professional	QY	$208.93	$331.13	$575.44
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $295.12 / $512.86 / $891.25	Professional	QZ	$295.12	$512.86	$891.25
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $100.00 / $199.53 / $776.25	Professional	AA	$100.00	$199.53	$776.25
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $48.98 / $93.33 / $398.11	Professional	QK	$48.98	$93.33	$398.11
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $48.98 / $93.33 / $416.87	Professional	QX	$48.98	$93.33	$416.87
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $50.12 / $87.10 / $389.05	Professional	QY	$50.12	$87.10	$389.05
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $97.72 / $125.89 / $676.08	Professional	QZ	$97.72	$125.89	$676.08