Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $346.74 / $446.68	Facility		$302.00	$346.74	$446.68
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $691.83 / $691.83 / $691.83	Professional	QX	$691.83	$691.83	$691.83
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Professional	QZ	$2,187.76	$2,187.76	$2,187.76
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $141.25 / $141.25 / $141.25	Professional	AA	$141.25	$141.25	$141.25
Well Sense Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,388.44 / $4,168.69	Facility		$2,511.89	$3,388.44	$4,168.69