Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $469.63 / $469.63 / $469.63	Professional	QY	$469.63	$469.63	$469.63
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $393.30 / $770.00 / $1,045.00	Professional	AA	$393.30	$770.00	$1,045.00
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $280.50 / $280.50 / $280.50	Professional	QX	$280.50	$280.50	$280.50
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $412.50 / $412.50 / $412.50	Professional	QY	$412.50	$412.50	$412.50
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $408.00 / $612.00 / $880.00	Professional	QZ	$408.00	$612.00	$880.00
Qualchoice Facility/Professional Professional Modifier AA Low / Median / High Price $885.50 / $885.50 / $1,201.75	Professional	AA	$885.50	$885.50	$1,201.75
Qualchoice Facility/Professional Professional Modifier QY Low / Median / High Price $474.38 / $474.38 / $474.38	Professional	QY	$474.38	$474.38	$474.38
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $469.20 / $793.50 / $1,012.00	Professional	QZ	$469.20	$793.50	$1,012.00