Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $199.53 / $302.00	Facility		$39.81	$199.53	$302.00
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $478.63 / $478.63 / $630.96	Professional	AA	$478.63	$478.63	$630.96
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $229.09 / $245.47 / $1,258.93	Professional	QX	$229.09	$245.47	$1,258.93
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $281.84 / $501.19 / $501.19	Professional	QZ	$281.84	$501.19	$501.19
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $100.00 / $100.00 / $141.25	Professional	QZ	$100.00	$100.00	$141.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $81.28	Facility		$39.81	$39.81	$81.28