Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $43.65 / $851.14	Facility		$39.81	$43.65	$851.14
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $389.05 / $537.03 / $1,000.00	Professional	AA	$389.05	$537.03	$1,000.00
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $173.78 / $331.13 / $501.19	Professional	QK	$173.78	$331.13	$501.19
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $169.82 / $316.23 / $489.78	Professional	QX	$169.82	$316.23	$489.78
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $169.82 / $316.23 / $416.87	Professional	QY	$169.82	$316.23	$416.87
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $245.47 / $371.54 / $602.56	Professional	QZ	$245.47	$371.54	$602.56
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $100.00 / $117.49 / $181.97	Professional	AA	$100.00	$117.49	$181.97
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $48.98 / $56.23 / $77.62	Professional	QK	$48.98	$56.23	$77.62
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $42.66 / $58.88 / $85.11	Professional	QX	$42.66	$58.88	$85.11
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $50.12 / $58.88 / $100.00	Professional	QY	$50.12	$58.88	$100.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $97.72 / $117.49 / $181.97	Professional	QZ	$97.72	$117.49	$181.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $50.12 / $3,090.30	Facility		$42.66	$50.12	$3,090.30