Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $48.00 / $340.00	Facility		$40.00	$48.00	$340.00
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $128.90 / $128.90 / $128.90	Professional	AA	$128.90	$128.90	$128.90
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 / $348.40 / $469.20	Professional	QZ	$121.65	$348.40	$469.20
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $97.55 / $97.55 / $100.25	Professional	AA	$97.55	$97.55	$100.25
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $58.53 / $85.36 / $256.00	Professional	QX	$58.53	$85.36	$256.00
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $50.13 / $50.13 / $50.13	Professional	QY	$50.13	$50.13	$50.13
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $117.06 / $136.57 / $354.00	Professional	QZ	$117.06	$136.57	$354.00