Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $691.83 / $691.83 / $691.83	Facility	QX	$691.83	$691.83	$691.83
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $676.08 / $676.08 / $676.08	Facility	QZ	$676.08	$676.08	$676.08
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $407.38 / $891.25 / $1,548.82	Professional	AA	$407.38	$891.25	$1,548.82
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $138.04 / $407.38 / $1,000.00	Professional	AA	$138.04	$407.38	$1,000.00
Medica Facility/Professional Facility Modifier QK Low / Median / High Price $39.81 / $39.81 / $52.48	Facility	QK	$39.81	$39.81	$52.48
Medica Facility/Professional Facility Modifier QX Low / Median / High Price $39.81 / $39.81 / $52.48	Facility	QX	$39.81	$39.81	$52.48
Medica Facility/Professional Facility Modifier QY Low / Median / High Price $39.81 / $39.81 / $52.48	Facility	QY	$39.81	$39.81	$52.48