Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $562.34 / $851.14 / $851.14	Facility	QX	$562.34	$851.14	$851.14
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $416.87 / $776.25 / $1,445.44	Professional	AA	$416.87	$776.25	$1,445.44
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $181.97 / $257.04 / $588.84	Professional	AA	$181.97	$257.04	$588.84
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