Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $436.52 / $794.33 / $1,348.96	Professional	AA	$436.52	$794.33	$1,348.96
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $269.15 / $380.19 / $537.03	Professional	QX	$269.15	$380.19	$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
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $457.09 / $457.09 / $457.09	Professional	QZ	$457.09	$457.09	$457.09
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $79.43 / $79.43 / $79.43	Professional	AA	$79.43	$79.43	$79.43
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $97.72 / $97.72 / $97.72	Professional	QX	$97.72	$97.72	$97.72
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $97.72 / $97.72 / $120.23	Professional	QZ	$97.72	$97.72	$120.23