Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $48.00 / $815.85	Facility		$40.00	$48.00	$815.85
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $389.58 / $389.58 / $389.58	Professional	AA	$389.58	$389.58	$389.58
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $148.50 / $148.50 / $211.25	Professional	QX	$148.50	$148.50	$211.25
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $95.08 / $291.20 / $386.40	Professional	QZ	$95.08	$291.20	$386.40
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $100.25 / $156.08 / $156.08	Professional	AA	$100.25	$156.08	$156.08
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $58.53 / $78.04 / $312.00	Professional	QK	$58.53	$78.04	$312.00
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $48.78 / $68.29 / $99.01	Professional	QX	$48.78	$68.29	$99.01
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $320.00 / $320.00 / $320.00	Professional	QY	$320.00	$320.00	$320.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $97.55 / $131.69 / $195.10	Professional	QZ	$97.55	$131.69	$195.10