Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $1,474.32 / $1,474.32 / $1,474.32	Facility	QX	$1,474.32	$1,474.32	$1,474.32
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,573.80 / $1,573.80 / $1,573.80	Professional	AA	$1,573.80	$1,573.80	$1,573.80
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $369.97 / $412.58 / $597.92	Professional	QZ	$369.97	$412.58	$597.92
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $474.96 / $474.96 / $655.50	Professional	AA	$474.96	$474.96	$655.50
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $672.00 / $672.00 / $830.25	Professional	QZ	$672.00	$672.00	$830.25