Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $868.40 / $1,068.80 / $1,587.60	Professional	AA	$868.40	$1,068.80	$1,587.60
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $424.80 / $576.15 / $642.95	Professional	QX	$424.80	$576.15	$642.95
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $61.51 / $559.45 / $642.95	Professional	QY	$61.51	$559.45	$642.95
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $868.40 / $868.40 / $1,215.00	Professional	QZ	$868.40	$868.40	$1,215.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $143.36 / $143.36 / $143.36	Professional	QZ	$143.36	$143.36	$143.36