Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $588.84 / $1,174.90 / $2,089.30	Professional	AA	$588.84	$1,174.90	$2,089.30
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $537.03 / $954.99 / $954.99	Professional	QZ	$537.03	$954.99	$954.99
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $114.82 / $114.82 / $660.69	Professional	QZ	$114.82	$114.82	$660.69
Medica Facility/Professional Facility Modifier QK Low / Median / High Price $39.81 / $39.81 / $39.81	Facility	QK	$39.81	$39.81	$39.81
Medica Facility/Professional Facility Modifier QX Low / Median / High Price $39.81 / $39.81 / $39.81	Facility	QX	$39.81	$39.81	$39.81
Medica Facility/Professional Facility Modifier QY Low / Median / High Price $39.81 / $39.81 / $39.81	Facility	QY	$39.81	$39.81	$39.81
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $758.58 / $758.58 / $758.58	Professional	QZ	$758.58	$758.58	$758.58