Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $234.42 / $933.25 / $1,174.90	Professional	AA	$234.42	$933.25	$1,174.90
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $269.15 / $389.05 / $537.03	Professional	QX	$269.15	$389.05	$537.03
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $269.15 / $269.15 / $389.05	Professional	QY	$269.15	$269.15	$389.05
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $52.48 / $52.48 / $97.72	Professional	QX	$52.48	$52.48	$97.72
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $81.28 / $100.00 / $102.33	Professional	QZ	$81.28	$100.00	$102.33