Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $309.03 / $446.68	Facility		$44.67	$309.03	$446.68
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $354.81 / $524.81 / $1,202.26	Professional	AA	$354.81	$524.81	$1,202.26
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $257.04 / $691.83 / $912.01	Professional	QX	$257.04	$691.83	$912.01
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $380.19 / $501.19 / $2,187.76	Professional	QZ	$380.19	$501.19	$2,187.76
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $234.42 / $234.42 / $234.42	Professional	AA	$234.42	$234.42	$234.42
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $112.20 / $162.18 / $389.05	Professional	QZ	$112.20	$162.18	$389.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $269.15 / $416.87	Professional		$151.36	$269.15	$416.87
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00