Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $280.16 / $690.00 / $934.31	Professional	AA	$280.16	$690.00	$934.31
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $120.36 / $337.06 / $567.26	Professional	QX	$120.36	$337.06	$567.26
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $264.83 / $264.83 / $264.83	Professional	QY	$264.83	$264.83	$264.83
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $206.05 / $206.05 / $206.05	Professional	QZ	$206.05	$206.05	$206.05
United Facility/Professional Professional Modifier QY Low / Median / High Price $80.00 / $80.00 / $80.00	Professional	QY	$80.00	$80.00	$80.00