Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $125.90 / $365.40 / $396.90	Professional	QZ	$125.90	$365.40	$396.90
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $50.13 / $50.13 / $50.13	Professional	QX	$50.13	$50.13	$50.13
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $306.00 / $306.00 / $306.00	Professional	QZ	$306.00	$306.00	$306.00