Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $208.93 / $1,819.70	Facility		$39.81	$208.93	$1,819.70
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $141.25 / $602.56 / $1,023.29	Professional	AA	$141.25	$602.56	$1,023.29
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $95.50 / $323.59 / $575.44	Professional	QX	$95.50	$323.59	$575.44
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $239.88 / $309.03 / $478.63	Professional	QY	$239.88	$309.03	$478.63
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $125.89 / $549.54 / $891.25	Professional	QZ	$125.89	$549.54	$891.25
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $93.33 / $389.05 / $912.01	Professional	AA	$93.33	$389.05	$912.01
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $54.95 / $131.83 / $630.96	Professional	QX	$54.95	$131.83	$630.96
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $60.26 / $295.12 / $588.84	Professional	QY	$60.26	$295.12	$588.84
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $107.15 / $138.04 / $912.01	Professional	QZ	$107.15	$138.04	$912.01