Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,659.59 / $2,344.23 / $2,754.23	Professional	AA	$1,659.59	$2,344.23	$2,754.23
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $977.24 / $977.24 / $977.24	Professional	QZ	$977.24	$977.24	$977.24
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $616.60 / $1,380.38 / $1,995.26	Professional	AA	$616.60	$1,380.38	$1,995.26
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $812.83 / $1,380.38 / $7,585.78	Professional	QZ	$812.83	$1,380.38	$7,585.78
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