Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $77.62 / $77.62 / $77.62	Professional	AA	$77.62	$77.62	$77.62
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
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $100.00 / $100.00 / $100.00	Professional	QZ	$100.00	$100.00	$100.00
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 $52.48 / $52.48 / $52.48	Professional	QX	$52.48	$52.48	$52.48
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $81.28 / $102.33 / $323.59	Professional	QZ	$81.28	$102.33	$323.59