Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $390.94 / $475.20 / $645.00	Professional	AA	$390.94	$475.20	$645.00
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $309.60 / $309.60 / $309.60	Professional	QX	$309.60	$309.60	$309.60
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $439.20 / $439.20 / $496.80	Professional	QZ	$439.20	$439.20	$496.80
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $145.11 / $145.11 / $145.11	Professional	AA	$145.11	$145.11	$145.11
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $51.83 / $51.83 / $51.83	Professional	QX	$51.83	$51.83	$51.83
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $139.13 / $139.13 / $139.13	Professional	QZ	$139.13	$139.13	$139.13