Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $446.68 / $1,230.27 / $1,513.56	Professional	AA	$446.68	$1,230.27	$1,513.56
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $338.84 / $478.63 / $645.65	Professional	QK	$338.84	$478.63	$645.65
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $323.59 / $467.74 / $707.95	Professional	QX	$323.59	$467.74	$707.95
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $338.84 / $426.58 / $758.58	Professional	QY	$338.84	$426.58	$758.58
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $154.88 / $436.52 / $1,174.90	Professional	QZ	$154.88	$436.52	$1,174.90
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $141.25 / $158.49 / $177.83	Professional	AA	$141.25	$158.49	$177.83
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $81.28 / $112.20 / $229.09	Professional	QK	$81.28	$112.20	$229.09
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $81.28 / $128.82 / $354.81	Professional	QX	$81.28	$128.82	$354.81
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $138.04 / $173.78 / $295.12	Professional	QZ	$138.04	$173.78	$295.12