Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $335.30 / $498.45	Facility		$48.00	$335.30	$498.45
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $444.00 / $444.00 / $444.00	Professional	AA	$444.00	$444.00	$444.00
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $70.20 / $70.20 / $70.20	Professional	QX	$70.20	$70.20	$70.20
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $120.36 / $120.36 / $455.00	Professional	QZ	$120.36	$120.36	$455.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.35 / $130.38 / $375.00	Facility		$49.35	$130.38	$375.00