Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $776.25 / $776.25 / $891.25	Facility	QX	$776.25	$776.25	$891.25
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $524.81 / $891.25 / $1,513.56	Professional	AA	$524.81	$891.25	$1,513.56
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $371.54 / $660.69 / $1,000.00	Professional	QZ	$371.54	$660.69	$1,000.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $158.49 / $263.03 / $645.65	Professional	AA	$158.49	$263.03	$645.65
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $97.72 / $144.54 / $295.12	Professional	QZ	$97.72	$144.54	$295.12