Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $575.44 / $891.25 / $1,288.25	Professional	AA	$575.44	$891.25	$1,288.25
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $436.52 / $660.69 / $912.01	Professional	QX	$436.52	$660.69	$912.01
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 $154.88 / $691.83 / $1,230.27	Professional	QZ	$154.88	$691.83	$1,230.27
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $154.88 / $275.42 / $616.60	Professional	AA	$154.88	$275.42	$616.60
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $72.44 / $147.91 / $707.95	Professional	QX	$72.44	$147.91	$707.95
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 $199.53 / $363.08 / $707.95	Professional	QZ	$199.53	$363.08	$707.95