Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $247.35 / $475.30 / $728.28	Facility	QX	$247.35	$475.30	$728.28
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $306.00 / $559.00 / $980.00	Professional	AA	$306.00	$559.00	$980.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $120.78 / $345.49 / $1,020.00	Professional	QZ	$120.78	$345.49	$1,020.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $103.65 / $162.71 / $388.98	Professional	AA	$103.65	$162.71	$388.98
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $116.22 / $162.71 / $212.63	Professional	QZ	$116.22	$162.71	$212.63