Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $741.31 / $741.31 / $741.31	Professional	AA	$741.31	$741.31	$741.31
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 $416.87 / $416.87 / $416.87	Professional	QY	$416.87	$416.87	$416.87
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $389.05 / $389.05 / $389.05	Professional	QZ	$389.05	$389.05	$389.05
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $74.13 / $74.13 / $74.13	Professional	QX	$74.13	$74.13	$74.13
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $97.72 / $162.18 / $190.55	Professional	QZ	$97.72	$162.18	$190.55