Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $672.00 / $672.00 / $756.00	Professional	AA	$672.00	$672.00	$756.00
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $252.80 / $329.60 / $508.80	Professional	QX	$252.80	$329.60	$508.80
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $399.90 / $465.00 / $614.79	Professional	QZ	$399.90	$465.00	$614.79
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $178.39 / $401.37 / $867.00	Professional	AA	$178.39	$401.37	$867.00
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $87.26 / $133.79 / $234.13	Professional	QX	$87.26	$133.79	$234.13
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $156.09 / $156.09 / $156.09	Professional	QY	$156.09	$156.09	$156.09
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $151.24 / $252.07 / $460.51	Professional	QZ	$151.24	$252.07	$460.51