Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $288.75 / $288.75 / $288.75	Professional	QX	$288.75	$288.75	$288.75
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $139.59 / $364.00 / $437.31	Professional	QZ	$139.59	$364.00	$437.31
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $120.30 / $175.59 / $459.00	Professional	AA	$120.30	$175.59	$459.00
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $68.29 / $113.16 / $728.00	Professional	QK	$68.29	$113.16	$728.00
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $81.94 / $113.16 / $352.00	Professional	QX	$81.94	$113.16	$352.00
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $99.01 / $127.30 / $229.50	Professional	QY	$99.01	$127.30	$229.50
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $136.57 / $184.37 / $408.00	Professional	QZ	$136.57	$184.37	$408.00