Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $457.09 / $1,096.48 / $1,737.80	Professional	AA	$457.09	$1,096.48	$1,737.80
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $316.23 / $549.54 / $1,348.96	Professional	QZ	$316.23	$549.54	$1,348.96
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $162.18 / $436.52 / $1,047.13	Professional	AA	$162.18	$436.52	$1,047.13
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $158.49 / $181.97 / $416.87	Professional	QZ	$158.49	$181.97	$416.87
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