Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $77.06 / $299.88 / $892.62	Facility	QX	$77.06	$299.88	$892.62
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $327.42 / $568.79 / $1,255.59	Professional	AA	$327.42	$568.79	$1,255.59
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $303.60 / $369.30 / $637.50	Professional	QZ	$303.60	$369.30	$637.50
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $138.53 / $240.35 / $680.00	Professional	AA	$138.53	$240.35	$680.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $107.73 / $208.55 / $520.00	Professional	QZ	$107.73	$208.55	$520.00