Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $214.20 / $302.10 / $640.20	Facility	QX	$214.20	$302.10	$640.20
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,032.00 / $1,032.00 / $1,032.00	Facility	QZ	$1,032.00	$1,032.00	$1,032.00
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $524.60 / $840.00 / $1,400.00	Professional	AA	$524.60	$840.00	$1,400.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $186.57 / $277.06 / $483.00	Professional	AA	$186.57	$277.06	$483.00