Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $744.87 / $744.87 / $1,361.31	Facility	QX	$744.87	$744.87	$1,361.31
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $1,267.99 / $1,267.99 / $1,267.99	Professional	QZ	$1,267.99	$1,267.99	$1,267.99
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $463.45 / $463.45 / $463.45	Professional	QZ	$463.45	$463.45	$463.45