Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $781.11 / $781.11 / $882.63	Facility	QX	$781.11	$781.11	$882.63
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $446.40 / $712.80 / $1,280.47	Professional	AA	$446.40	$712.80	$1,280.47
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $375.04 / $506.01 / $1,317.95	Professional	QZ	$375.04	$506.01	$1,317.95
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $162.21 / $235.98 / $520.00	Professional	AA	$162.21	$235.98	$520.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $183.54 / $185.38 / $298.30	Professional	QZ	$183.54	$185.38	$298.30
United Facility/Professional Professional Modifier QZ Low / Median / High Price $632.45 / $632.45 / $632.45	Professional	QZ	$632.45	$632.45	$632.45