Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $44.67 / $208.93	Facility		$39.81	$44.67	$208.93
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $120.23 / $630.96 / $1,479.11	Professional	AA	$120.23	$630.96	$1,479.11
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $141.25 / $363.08 / $1,258.93	Professional	QX	$141.25	$363.08	$1,258.93
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $93.33 / $281.84 / $501.19	Professional	QZ	$93.33	$281.84	$501.19
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $100.00 / $323.59 / $776.25	Professional	AA	$100.00	$323.59	$776.25
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $50.12 / $223.87 / $660.69	Professional	QX	$50.12	$223.87	$660.69
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $50.12 / $50.12 / $194.98	Professional	QY	$50.12	$50.12	$194.98
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $102.33 / $144.54 / $912.01	Professional	QZ	$102.33	$144.54	$912.01