Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $467.74 / $831.76 / $933.25	Facility	QX	$467.74	$831.76	$933.25
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $977.24 / $1,148.15 / $1,148.15	Facility	QZ	$977.24	$1,148.15	$1,148.15
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $575.44 / $1,202.26 / $2,137.96	Professional	AA	$575.44	$1,202.26	$2,137.96
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $512.86 / $812.83 / $1,548.82	Professional	QZ	$512.86	$812.83	$1,548.82
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $123.03 / $309.03 / $588.84	Professional	AA	$123.03	$309.03	$588.84
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $162.18 / $275.42 / $512.86	Professional	QZ	$162.18	$275.42	$512.86