Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $616.60 / $616.60 / $616.60	Professional	AA	$616.60	$616.60	$616.60
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $309.03 / $354.81 / $575.44	Professional	QX	$309.03	$354.81	$575.44
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $102.33 / $389.05 / $416.87	Professional	QZ	$102.33	$389.05	$416.87
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $457.09 / $457.09 / $457.09	Professional	AA	$457.09	$457.09	$457.09
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $93.33 / $93.33 / $93.33	Professional	QX	$93.33	$93.33	$93.33
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $79.43 / $79.43 / $79.43	Professional	QY	$79.43	$79.43	$79.43
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $120.23 / $169.82 / $776.25	Professional	QZ	$120.23	$169.82	$776.25