Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $40.74 / $70.79 / $77.62	Facility	QX	$40.74	$70.79	$77.62
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $316.23 / $588.84 / $977.24	Professional	AA	$316.23	$588.84	$977.24
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $102.33 / $457.09 / $489.78	Professional	QZ	$102.33	$457.09	$489.78
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $181.97 / $204.17 / $478.63	Professional	AA	$181.97	$204.17	$478.63
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $128.82 / $128.82 / $190.55	Professional	QZ	$128.82	$128.82	$190.55