Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.39 / $273.00 / $517.86	Facility		$19.39	$273.00	$517.86
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $63.78 / $207.70 / $257.30	Professional	QX	$63.78	$207.70	$257.30
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $255.75 / $265.05 / $283.64	Professional	QZ	$255.75	$265.05	$283.64
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $390.00 / $390.00 / $420.00	Professional	AA	$390.00	$390.00	$420.00
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $67.87 / $67.87 / $67.87	Professional	QX	$67.87	$67.87	$67.87
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $96.95 / $135.72 / $306.00	Professional	QZ	$96.95	$135.72	$306.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $82.00 / $2,251.60 / $3,120.00	Facility		$82.00	$2,251.60	$3,120.00