Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Facility	QX	$4,677.35	$4,677.35	$4,677.35
Wellcare Facility/Professional Facility Modifier QK Low / Median / High Price $112.20 / $112.20 / $112.20	Facility	QK	$112.20	$112.20	$112.20
Wellcare Facility/Professional Facility Modifier QX Low / Median / High Price $112.20 / $112.20 / $112.20	Facility	QX	$112.20	$112.20	$112.20
Wellcare Facility/Professional Facility Modifier QY Low / Median / High Price $112.20 / $112.20 / $112.20	Facility	QY	$112.20	$112.20	$112.20