Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $688.36 / $688.36 / $863.02	Facility	QX	$688.36	$688.36	$863.02
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $357.18 / $684.60 / $855.56	Professional	QZ	$357.18	$684.60	$855.56
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $198.10 / $319.80 / $394.88	Professional	QZ	$198.10	$319.80	$394.88