Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $812.83 / $1,621.81 / $2,884.03	Professional	AA	$812.83	$1,621.81	$2,884.03
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional	QZ	$1,445.44	$1,445.44	$1,445.44
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $263.03 / $263.03 / $263.03	Professional	AA	$263.03	$263.03	$263.03
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $177.83 / $177.83 / $177.83	Professional	QZ	$177.83	$177.83	$177.83
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