Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $45.00 / $1,023.00	Facility		$40.00	$45.00	$1,023.00
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,215.00 / $1,215.00 / $1,215.00	Professional	AA	$1,215.00	$1,215.00	$1,215.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $103.65 / $103.65 / $455.00	Professional	AA	$103.65	$103.65	$455.00
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $846.00 / $846.00 / $846.00	Professional	QX	$846.00	$846.00	$846.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $122.88 / $124.38 / $145.11	Professional	QZ	$122.88	$124.38	$145.11