Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $363.08 / $588.84 / $1,122.02	Professional	AA	$363.08	$588.84	$1,122.02
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $131.83 / $302.00 / $446.68	Professional	AA	$131.83	$302.00	$446.68
Medica Facility/Professional Facility Modifier QK Low / Median / High Price $39.81 / $39.81 / $39.81	Facility	QK	$39.81	$39.81	$39.81
Medica Facility/Professional Facility Modifier QX Low / Median / High Price $39.81 / $39.81 / $39.81	Facility	QX	$39.81	$39.81	$39.81
Medica Facility/Professional Facility Modifier QY Low / Median / High Price $39.81 / $39.81 / $39.81	Facility	QY	$39.81	$39.81	$39.81
Qualchoice Facility/Professional Professional Modifier AA Low / Median / High Price $354.81 / $354.81 / $407.38	Professional	AA	$354.81	$354.81	$407.38