Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $234.42 / $436.52 / $489.78	Professional	AA	$234.42	$436.52	$489.78
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $245.47 / $380.19 / $537.03	Professional	QX	$245.47	$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 $72.44 / $79.43 / $269.15	Professional	QZ	$72.44	$79.43	$269.15
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 $50.12 / $50.12 / $50.12	Professional	QX	$50.12	$50.12	$50.12
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $97.72 / $117.49 / $309.03	Professional	QZ	$97.72	$117.49	$309.03