Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.50 / $450.70 / $990.45	Facility		$32.50	$450.70	$990.45
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $577.20 / $577.20 / $769.60	Facility	QZ	$577.20	$577.20	$769.60
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $728.34 / $728.34 / $728.34	Professional	AA	$728.34	$728.34	$728.34
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $392.00 / $499.20 / $582.40	Professional	QZ	$392.00	$499.20	$582.40
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $115.71 / $182.70 / $510.00	Professional	AA	$115.71	$182.70	$510.00
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $70.04 / $233.58 / $297.50	Professional	QK	$70.04	$233.58	$297.50
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $60.18 / $120.38 / $255.00	Professional	QX	$60.18	$120.38	$255.00
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $255.00 / $255.00 / $255.00	Professional	QY	$255.00	$255.00	$255.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $105.56 / $147.18 / $544.00	Professional	QZ	$105.56	$147.18	$544.00