Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $121.25 / $121.25 / $121.25	Facility	QX	$121.25	$121.25	$121.25
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $244.07 / $315.51 / $637.50	Professional	QZ	$244.07	$315.51	$637.50
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $139.04 / $139.04 / $139.04	Professional	QZ	$139.04	$139.04	$139.04