Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $363.08 / $398.11 / $457.09	Facility	QX	$363.08	$398.11	$457.09
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $489.78 / $891.25 / $1,548.82	Professional	AA	$489.78	$891.25	$1,548.82
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $316.23 / $562.34 / $831.76	Professional	QZ	$316.23	$562.34	$831.76
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $158.49 / $229.09 / $645.65	Professional	AA	$158.49	$229.09	$645.65
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $144.54 / $251.19 / $407.38	Professional	QZ	$144.54	$251.19	$407.38
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