Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $309.03 / $446.68	Facility		$44.67	$309.03	$446.68
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $169.82 / $616.60 / $1,096.48	Professional	AA	$169.82	$616.60	$1,096.48
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $85.11 / $316.23 / $537.03	Professional	QX	$85.11	$316.23	$537.03
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $223.87 / $302.00 / $478.63	Professional	QY	$223.87	$302.00	$478.63
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $154.88 / $537.03 / $851.14	Professional	QZ	$154.88	$537.03	$851.14
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $29.51 / $245.47 / $478.63	Professional	AA	$29.51	$245.47	$478.63
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $12.88 / $77.62 / $229.09	Professional	QX	$12.88	$77.62	$229.09
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $104.71 / $104.71 / $295.12	Professional	QY	$104.71	$104.71	$295.12
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $117.49 / $138.04 / $257.04	Professional	QZ	$117.49	$138.04	$257.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $269.15 / $416.87	Professional		$151.36	$269.15	$416.87
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00