Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $457.09 / $457.09 / $741.31	Professional	AA	$457.09	$457.09	$741.31
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $302.00 / $389.05 / $660.69	Professional	QX	$302.00	$389.05	$660.69
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $416.87 / $416.87 / $416.87	Professional	QY	$416.87	$416.87	$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 AA Low / Median / High Price $173.78 / $173.78 / $173.78	Professional	AA	$173.78	$173.78	$173.78
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $70.79 / $75.86 / $75.86	Professional	QX	$70.79	$75.86	$75.86
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $120.23 / $144.54 / $144.54	Professional	QZ	$120.23	$144.54	$144.54