Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $963.90 / $963.90 / $963.90	Facility	QX	$963.90	$963.90	$963.90
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $840.00 / $1,260.00 / $1,820.00	Professional	AA	$840.00	$1,260.00	$1,820.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $420.00 / $603.67 / $1,300.00	Professional	AA	$420.00	$603.67	$1,300.00
Medica Facility/Professional Facility Modifier QK Low / Median / High Price $39.50 / $39.50 / $52.00	Facility	QK	$39.50	$39.50	$52.00
Medica Facility/Professional Facility Modifier QX Low / Median / High Price $39.50 / $39.50 / $52.00	Facility	QX	$39.50	$39.50	$52.00
Medica Facility/Professional Facility Modifier QY Low / Median / High Price $39.50 / $39.50 / $52.00	Facility	QY	$39.50	$39.50	$52.00