Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $389.05 / $416.87 / $831.76	Facility	QX	$389.05	$416.87	$831.76
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility	QZ	$1,698.24	$1,698.24	$1,698.24
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $630.96 / $1,071.52 / $1,778.28	Professional	AA	$630.96	$1,071.52	$1,778.28
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $467.74 / $676.08 / $933.25	Professional	QZ	$467.74	$676.08	$933.25
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $147.91 / $218.78 / $776.25	Professional	AA	$147.91	$218.78	$776.25
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $141.25 / $181.97 / $407.38	Professional	QZ	$141.25	$181.97	$407.38