Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $559.92 / $775.69 / $779.76	Facility	QX	$559.92	$775.69	$779.76
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,332.50 / $1,657.50 / $1,995.20	Professional	AA	$1,332.50	$1,657.50	$1,995.20
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $922.50 / $1,300.73 / $2,704.00	Professional	QZ	$922.50	$1,300.73	$2,704.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $356.22 / $356.22 / $356.22	Professional	AA	$356.22	$356.22	$356.22
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $486.62 / $486.62 / $486.62	Professional	QZ	$486.62	$486.62	$486.62
United Facility/Professional Professional Modifier QZ Low / Median / High Price $80.00 / $80.00 / $80.00	Professional	QZ	$80.00	$80.00	$80.00