Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.00 / $61.00 / $61.00	Facility		$61.00	$61.00	$61.00
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $170.80 / $182.00 / $238.00	Professional	QX	$170.80	$182.00	$238.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $121.65 / $341.60 / $386.40	Professional	QZ	$121.65	$341.60	$386.40
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $96.55 / $96.55 / $96.55	Professional	AA	$96.55	$96.55	$96.55
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $67.59 / $134.30 / $153.49	Professional	QX	$67.59	$134.30	$153.49
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $117.06 / $121.94 / $216.27	Professional	QZ	$117.06	$121.94	$216.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.91 / $38.49 / $51.96	Facility		$31.91	$38.49	$51.96