Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $776.25 / $2,511.89 / $3,715.35	Professional	AA	$776.25	$2,511.89	$3,715.35
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $239.88 / $239.88 / $295.12	Professional	AA	$239.88	$239.88	$295.12
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $263.03 / $812.83 / $2,041.74	Professional	QZ	$263.03	$812.83	$2,041.74
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