Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $199.53 / $302.00	Facility		$39.81	$199.53	$302.00
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $323.59 / $776.25 / $1,047.13	Professional	AA	$323.59	$776.25	$1,047.13
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $177.83 / $323.59 / $537.03	Professional	QX	$177.83	$323.59	$537.03
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $251.19 / $295.12 / $416.87	Professional	QY	$251.19	$295.12	$416.87
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $123.03 / $346.74 / $660.69	Professional	QZ	$123.03	$346.74	$660.69
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $29.51 / $93.33 / $588.84	Professional	AA	$29.51	$93.33	$588.84
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $50.12 / $50.12 / $114.82	Professional	QX	$50.12	$50.12	$114.82
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $60.26 / $60.26 / $60.26	Professional	QY	$60.26	$60.26	$60.26
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $100.00 / $123.03 / $234.42	Professional	QZ	$100.00	$123.03	$234.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $1,584.89 / $2,344.23	Facility		$81.28	$1,584.89	$2,344.23