Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $66.23 / $66.23 / $66.23	Professional	QX	$66.23	$66.23	$66.23
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $121.65 / $204.69 / $402.90	Professional	QX	$121.65	$204.69	$402.90
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $125.52 / $141.44 / $204.69	Professional	QY	$125.52	$141.44	$204.69
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $160.72 / $197.90 / $217.69	Professional	QZ	$160.72	$197.90	$217.69