Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $247.75 / $247.75 / $247.75	Professional	QX	$247.75	$247.75	$247.75
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $473.23 / $473.23 / $473.23	Professional	QZ	$473.23	$473.23	$473.23
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $75.26 / $75.26 / $75.26	Professional	QX	$75.26	$75.26	$75.26
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $118.74 / $135.16 / $154.47	Professional	QZ	$118.74	$135.16	$154.47