Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $980.00 / $1,680.00 / $2,800.00	Professional	AA	$980.00	$1,680.00	$2,800.00
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $283.50 / $324.45 / $3,358.56	Professional	QX	$283.50	$324.45	$3,358.56
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $3,004.52 / $3,004.52 / $3,004.52	Professional	QY	$3,004.52	$3,004.52	$3,004.52
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $686.40 / $686.40 / $686.40	Professional	QZ	$686.40	$686.40	$686.40
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $156.08 / $220.66 / $350.18	Professional	AA	$156.08	$220.66	$350.18
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $137.09 / $326.83 / $326.83	Professional	QX	$137.09	$326.83	$326.83
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $149.25 / $149.25 / $149.25	Professional	QY	$149.25	$149.25	$149.25
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $218.79 / $238.68 / $612.00	Professional	QZ	$218.79	$238.68	$612.00
United Facility/Professional Professional Modifier QY Low / Median / High Price $80.00 / $80.00 / $80.00	Professional	QY	$80.00	$80.00	$80.00