Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $338.84 / $338.84 / $338.84	Facility	QX	$338.84	$338.84	$338.84
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $213.80 / $1,174.90 / $1,698.24	Professional	AA	$213.80	$1,174.90	$1,698.24
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $223.87 / $691.83 / $1,122.02	Professional	QZ	$223.87	$691.83	$1,122.02
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $199.53 / $213.80 / $295.12	Professional	AA	$199.53	$213.80	$295.12
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $141.25 / $162.18 / $245.47	Professional	QZ	$141.25	$162.18	$245.47