Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $815.37 / $815.37 / $815.37	Professional	AA	$815.37	$815.37	$815.37
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $153.29 / $153.29 / $153.29	Professional	QZ	$153.29	$153.29	$153.29
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $156.08 / $156.08 / $156.08	Professional	AA	$156.08	$156.08	$156.08
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $97.55 / $121.94 / $640.00	Professional	QX	$97.55	$121.94	$640.00
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $257.04 / $257.04 / $880.00	Professional	QY	$257.04	$257.04	$880.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $184.37 / $243.88 / $510.00	Professional	QZ	$184.37	$243.88	$510.00