Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $891.25 / $1,862.09 / $2,884.03	Professional	AA	$891.25	$1,862.09	$2,884.03
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $446.68 / $676.08 / $933.25	Professional	QX	$446.68	$676.08	$933.25
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $446.68 / $707.95 / $977.24	Professional	QY	$446.68	$707.95	$977.24
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $154.88 / $1,318.26 / $1,949.84	Professional	QZ	$154.88	$1,318.26	$1,949.84
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $288.40 / $288.40 / $676.08	Professional	AA	$288.40	$288.40	$676.08
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $81.28 / $125.89 / $173.78	Professional	QX	$81.28	$125.89	$173.78
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $85.11 / $85.11 / $162.18	Professional	QY	$85.11	$85.11	$162.18
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $223.87 / $223.87 / $389.05	Professional	QZ	$223.87	$223.87	$389.05