Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility	QX	$1,548.82	$1,548.82	$1,548.82
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $218.78 / $363.08 / $977.24	Professional	QZ	$218.78	$363.08	$977.24
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $138.04 / $165.96 / $346.74	Professional	QZ	$138.04	$165.96	$346.74
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