Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $199.53 / $1,122.02 / $1,202.26	Professional	AA	$199.53	$1,122.02	$1,202.26
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $398.11 / $436.52 / $549.54	Professional	QZ	$398.11	$436.52	$549.54
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $123.03 / $147.91 / $323.59	Professional	QZ	$123.03	$147.91	$323.59
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