Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $467.74 / $831.76 / $1,659.59	Professional	AA	$467.74	$831.76	$1,659.59
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $436.52 / $660.69 / $933.25	Professional	QX	$436.52	$660.69	$933.25
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $316.23 / $588.84 / $831.76	Professional	QY	$316.23	$588.84	$831.76
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $407.38 / $616.60 / $1,230.27	Professional	QZ	$407.38	$616.60	$1,230.27
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $162.18 / $407.38 / $776.25	Professional	AA	$162.18	$407.38	$776.25
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $72.44 / $134.90 / $245.47	Professional	QX	$72.44	$134.90	$245.47
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $204.17 / $204.17 / $204.17	Professional	QY	$204.17	$204.17	$204.17
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $263.03 / $616.60 / $1,288.25	Professional	QZ	$263.03	$616.60	$1,288.25
Qualchoice Facility/Professional Professional Modifier AA Low / Median / High Price $467.74 / $707.95 / $891.25	Professional	AA	$467.74	$707.95	$891.25
Qualchoice Facility/Professional Professional Modifier QY Low / Median / High Price $234.42 / $234.42 / $234.42	Professional	QY	$234.42	$234.42	$234.42
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $524.81 / $724.44 / $1,479.11	Professional	QZ	$524.81	$724.44	$1,479.11