Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $65.02 / $65.02 / $65.02	Professional	QX	$65.02	$65.02	$65.02
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $72.23 / $80.20 / $270.89	Professional	QZ	$72.23	$80.20	$270.89
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $204.00 / $204.00 / $204.00	Professional	QZ	$204.00	$204.00	$204.00