Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $1,097.72 / $1,097.72 / $1,097.72	Facility	QX	$1,097.72	$1,097.72	$1,097.72
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $404.95 / $714.95 / $1,294.08	Professional	AA	$404.95	$714.95	$1,294.08
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $175.73 / $567.55 / $736.98	Professional	QZ	$175.73	$567.55	$736.98
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $277.06 / $715.00 / $910.00	Professional	AA	$277.06	$715.00	$910.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $140.41 / $184.37 / $385.00	Professional	QZ	$140.41	$184.37	$385.00