Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $741.31 / $1,479.11 / $2,691.53	Professional	AA	$741.31	$1,479.11	$2,691.53
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $354.81 / $630.96 / $1,202.26	Professional	QX	$354.81	$630.96	$1,202.26
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $316.23 / $660.69 / $977.24	Professional	QY	$316.23	$660.69	$977.24
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $426.58 / $933.25 / $1,905.46	Professional	QZ	$426.58	$933.25	$1,905.46
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $208.93 / $891.25 / $1,737.80	Professional	AA	$208.93	$891.25	$1,737.80
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $102.33 / $323.59 / $1,071.52	Professional	QX	$102.33	$323.59	$1,071.52
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $95.50 / $512.86 / $912.01	Professional	QY	$95.50	$512.86	$912.01
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $223.87 / $954.99 / $1,584.89	Professional	QZ	$223.87	$954.99	$1,584.89