Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $389.05 / $588.84 / $588.84	Facility	QX	$389.05	$588.84	$588.84
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $741.31 / $1,288.25 / $1,659.59	Professional	AA	$741.31	$1,288.25	$1,659.59
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $676.08 / $776.25 / $1,122.02	Professional	QZ	$676.08	$776.25	$1,122.02
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $199.53 / $812.83 / $1,258.93	Professional	AA	$199.53	$812.83	$1,258.93
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $199.53 / $234.42 / $1,023.29	Professional	QZ	$199.53	$234.42	$1,023.29
Wellcare Facility/Professional Facility Modifier QK Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	QK	$52.48	$52.48	$52.48
Wellcare Facility/Professional Facility Modifier QX Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	QX	$52.48	$52.48	$52.48
Wellcare Facility/Professional Facility Modifier QY Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	QY	$52.48	$52.48	$52.48