Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $891.25 / $1,318.26 / $2,570.40	Professional	AA	$891.25	$1,318.26	$2,570.40
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $389.05 / $870.96 / $2,511.89	Professional	QX	$389.05	$870.96	$2,511.89
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $478.63 / $870.96 / $3,162.28	Professional	QY	$478.63	$870.96	$3,162.28
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $851.14 / $1,698.24 / $2,344.23	Professional	QZ	$851.14	$1,698.24	$2,344.23
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $239.88 / $263.03 / $398.11	Professional	QX	$239.88	$263.03	$398.11
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $263.03 / $263.03 / $263.03	Professional	QY	$263.03	$263.03	$263.03
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $204.17 / $204.17 / $204.17	Professional	QZ	$204.17	$204.17	$204.17