Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $436.52 / $933.25 / $1,949.84	Professional	AA	$436.52	$933.25	$1,949.84
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $245.47 / $380.19 / $588.84	Professional	QX	$245.47	$380.19	$588.84
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $269.15 / $501.19 / $1,659.59	Professional	QY	$269.15	$501.19	$1,659.59
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 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 / $120.23	Professional	QZ	$81.28	$102.33	$120.23
Aultcare Facility/Professional Professional Modifier QZ Low / Median / High Price $181.97 / $229.09 / $275.42	Professional	QZ	$181.97	$229.09	$275.42