Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $302.00 / $416.87 / $660.69	Professional	QX	$302.00	$416.87	$660.69
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $398.11 / $398.11 / $416.87	Professional	QY	$398.11	$398.11	$416.87
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $100.00 / $331.13 / $467.74	Professional	QZ	$100.00	$331.13	$467.74
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $70.79 / $70.79 / $74.13	Professional	QX	$70.79	$70.79	$74.13
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $97.72 / $141.25 / $309.03	Professional	QZ	$97.72	$141.25	$309.03
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $354.81 / $354.81 / $354.81	Professional	QZ	$354.81	$354.81	$354.81