Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $1,195.65 / $1,195.65 / $1,195.65	Professional	QX	$1,195.65	$1,195.65	$1,195.65
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $1,195.65 / $1,195.65 / $1,195.65	Professional	QY	$1,195.65	$1,195.65	$1,195.65
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $99.07 / $327.60 / $472.50	Professional	QZ	$99.07	$327.60	$472.50
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $60.15 / $60.15 / $63.27	Professional	QX	$60.15	$60.15	$63.27
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $99.45 / $99.45 / $306.00	Professional	QZ	$99.45	$99.45	$306.00