Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $100.00 / $933.25 / $954.99	Facility	QX	$100.00	$933.25	$954.99
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $645.65 / $1,288.25 / $2,137.96	Professional	AA	$645.65	$1,288.25	$2,137.96
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $389.05 / $741.31 / $1,148.15	Professional	QZ	$389.05	$741.31	$1,148.15
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $138.04 / $363.08 / $741.31	Professional	AA	$138.04	$363.08	$741.31
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $151.36 / $354.81 / $1,548.82	Professional	QZ	$151.36	$354.81	$1,548.82
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