Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $390.32 / $390.32 / $828.24	Facility	QX	$390.32	$390.32	$828.24
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,705.95 / $1,705.95 / $1,705.95	Facility	QZ	$1,705.95	$1,705.95	$1,705.95
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $584.60 / $784.80 / $1,388.63	Professional	AA	$584.60	$784.80	$1,388.63
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $361.73 / $533.40 / $684.60	Professional	QZ	$361.73	$533.40	$684.60
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $139.04 / $265.48 / $690.00	Professional	AA	$139.04	$265.48	$690.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $162.21 / $222.75 / $303.75	Professional	QZ	$162.21	$222.75	$303.75