Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $426.58 / $741.31 / $1,174.90	Professional	AA	$426.58	$741.31	$1,174.90
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $199.53 / $363.08 / $537.03	Professional	QX	$199.53	$363.08	$537.03
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $269.15 / $389.05 / $575.44	Professional	QY	$269.15	$389.05	$575.44
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $72.44 / $199.53 / $602.56	Professional	QZ	$72.44	$199.53	$602.56
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $125.89 / $125.89 / $125.89	Professional	AA	$125.89	$125.89	$125.89
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $50.12 / $218.78 / $562.34	Professional	QX	$50.12	$218.78	$562.34
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $81.28 / $104.71 / $616.60	Professional	QZ	$81.28	$104.71	$616.60