Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $769.60 / $769.60 / $769.60	Facility	QZ	$769.60	$769.60	$769.60
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $213.15 / $385.21 / $667.36	Professional	AA	$213.15	$385.21	$667.36
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $140.08 / $300.31 / $460.00	Professional	QK	$140.08	$300.31	$460.00
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $140.08 / $300.31 / $460.00	Professional	QX	$140.08	$300.31	$460.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $206.05 / $243.60 / $1,035.00	Professional	QZ	$206.05	$243.60	$1,035.00