Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $835.70 / $835.70 / $835.70	Facility	QX	$835.70	$835.70	$835.70
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $165.55 / $225.75 / $689.48	Professional	QZ	$165.55	$225.75	$689.48
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $162.21 / $162.21 / $162.21	Professional	QZ	$162.21	$162.21	$162.21