Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.25 / $365.00 / $770.80	Facility		$21.25	$365.00	$770.80
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $466.10 / $615.00 / $1,120.00	Professional	AA	$466.10	$615.00	$1,120.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $636.29 / $716.28 / $835.66	Professional	QZ	$636.29	$716.28	$835.66
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $80.44 / $262.92 / $640.67	Professional	AA	$80.44	$262.92	$640.67
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $227.50 / $227.50 / $227.50	Professional	QX	$227.50	$227.50	$227.50
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $80.44 / $100.55 / $420.00	Professional	QZ	$80.44	$100.55	$420.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $242.60 / $325.00 / $513.20	Professional		$242.60	$325.00	$513.20