Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $261.80 / $337.96 / $733.04	Facility	QX	$261.80	$337.96	$733.04
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $582.40 / $722.40 / $1,435.41	Professional	AA	$582.40	$722.40	$1,435.41
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $416.60 / $1,275.00 / $1,657.50	Professional	QZ	$416.60	$1,275.00	$1,657.50
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $161.19 / $294.98 / $552.00	Professional	AA	$161.19	$294.98	$552.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $138.66 / $231.73 / $303.75	Professional	QZ	$138.66	$231.73	$303.75
United Facility/Professional Professional Modifier AA Low / Median / High Price $88.00 / $88.00 / $903.50	Professional	AA	$88.00	$88.00	$903.50