Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $831.76 / $1,288.25 / $2,290.87	Professional	AA	$831.76	$1,288.25	$2,290.87
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $281.84 / $616.60 / $912.01	Professional	QX	$281.84	$616.60	$912.01
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $251.19 / $549.54 / $831.76	Professional	QY	$251.19	$549.54	$831.76
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $269.15 / $1,318.26 / $1,949.84	Professional	QZ	$269.15	$1,318.26	$1,949.84
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $218.78 / $218.78 / $275.42	Professional	AA	$218.78	$218.78	$275.42
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $134.90 / $181.97 / $181.97	Professional	QX	$134.90	$181.97	$181.97
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $199.53 / $199.53 / $269.15	Professional	QZ	$199.53	$199.53	$269.15