Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $57.54 / $338.84	Facility		$39.81	$57.54	$338.84
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $128.82 / $489.78 / $616.60	Professional	AA	$128.82	$489.78	$616.60
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $177.83 / $302.00 / $407.38	Professional	QX	$177.83	$302.00	$407.38
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $223.87 / $275.42 / $323.59	Professional	QY	$223.87	$275.42	$323.59
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $128.82 / $346.74 / $776.25	Professional	QZ	$128.82	$346.74	$776.25
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $95.50 / $138.04 / $389.05	Professional	AA	$95.50	$138.04	$389.05
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $50.12 / $69.18 / $114.82	Professional	QX	$50.12	$69.18	$114.82
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $117.49 / $138.04 / $354.81	Professional	QZ	$117.49	$138.04	$354.81