Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $524.81 / $524.81 / $912.01	Professional	QX	$524.81	$524.81	$912.01
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $100.00 / $112.20 / $144.54	Professional	QZ	$100.00	$112.20	$144.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $50.12 / $3,090.30	Facility		$42.66	$50.12	$3,090.30