Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $251.19 / $251.19 / $251.19	Facility	QX	$251.19	$251.19	$251.19
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $489.78 / $977.24 / $1,905.46	Professional	AA	$489.78	$977.24	$1,905.46
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $141.25 / $489.78 / $1,047.13	Professional	AA	$141.25	$489.78	$1,047.13
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