Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $338.58 / $677.10 / $860.70	Facility	QX	$338.58	$677.10	$860.70
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,511.37 / $1,511.37 / $1,511.37	Facility	QZ	$1,511.37	$1,511.37	$1,511.37
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $582.40 / $832.50 / $1,540.00	Professional	AA	$582.40	$832.50	$1,540.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $241.57 / $620.60 / $1,795.50	Professional	QZ	$241.57	$620.60	$1,795.50
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $174.33 / $360.18 / $589.95	Professional	AA	$174.33	$360.18	$589.95
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $157.32 / $271.18 / $379.65	Professional	QZ	$157.32	$271.18	$379.65