Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.50 / $540.84 / $950.04	Facility		$32.50	$540.84	$950.04
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $769.60 / $769.60 / $859.85	Facility	QZ	$769.60	$769.60	$859.85
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $584.79 / $584.79 / $584.79	Professional	AA	$584.79	$584.79	$584.79
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $499.20 / $499.20 / $548.79	Professional	QZ	$499.20	$499.20	$548.79
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $182.70 / $467.15 / $600.63	Professional	AA	$182.70	$467.15	$600.63
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $112.06 / $144.44 / $266.95	Professional	QK	$112.06	$144.44	$266.95
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $70.20 / $144.44 / $266.95	Professional	QX	$70.20	$144.44	$266.95
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $168.53 / $168.53 / $300.31	Professional	QY	$168.53	$168.53	$300.31
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $140.41 / $243.60 / $595.00	Professional	QZ	$140.41	$243.60	$595.00