Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $344.00 / $652.00 / $780.00	Professional	AA	$344.00	$652.00	$780.00
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $166.00 / $166.00 / $166.00	Professional	QY	$166.00	$166.00	$166.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $840.00 / $840.00 / $1,080.00	Professional	QZ	$840.00	$840.00	$1,080.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $197.00 / $197.00 / $197.00	Professional	AA	$197.00	$197.00	$197.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $197.00 / $236.40 / $620.00	Professional	QZ	$197.00	$236.40	$620.00