Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.25 / $275.00 / $413.75	Facility		$21.25	$275.00	$413.75
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $127.56 / $840.00 / $980.00	Professional	AA	$127.56	$840.00	$980.00
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $415.47 / $415.47 / $415.47	Professional	QX	$415.47	$415.47	$415.47
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $545.40 / $545.40 / $545.40	Professional	QZ	$545.40	$545.40	$545.40
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $120.66 / $140.77 / $533.90	Professional	AA	$120.66	$140.77	$533.90
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $140.77 / $420.00 / $490.00	Professional	QZ	$140.77	$420.00	$490.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $242.60 / $325.00 / $513.20	Professional		$242.60	$325.00	$513.20