Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $288.40 / $407.38 / $812.83	Facility	QX	$288.40	$407.38	$812.83
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $630.96 / $1,047.13 / $1,949.84	Professional	AA	$630.96	$1,047.13	$1,949.84
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $446.68 / $691.83 / $1,258.93	Professional	QZ	$446.68	$691.83	$1,258.93
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $154.88 / $181.97 / $912.01	Professional	AA	$154.88	$181.97	$912.01
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $173.78 / $245.47 / $457.09	Professional	QZ	$173.78	$245.47	$457.09