Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $614.08 / $614.08 / $614.08	Professional	QX	$614.08	$614.08	$614.08
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $124.38 / $896.00 / $1,040.00	Professional	AA	$124.38	$896.00	$1,040.00
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $262.50 / $564.00 / $752.00	Professional	QX	$262.50	$564.00	$752.00
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $390.00 / $390.00 / $390.00	Professional	QY	$390.00	$390.00	$390.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $143.36 / $780.00 / $1,300.00	Professional	QZ	$143.36	$780.00	$1,300.00