Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $707.95 / $1,148.15 / $1,819.70	Professional	AA	$707.95	$1,148.15	$1,819.70
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $446.68 / $660.69 / $933.25	Professional	QX	$446.68	$660.69	$933.25
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $436.52 / $660.69 / $831.76	Professional	QY	$436.52	$660.69	$831.76
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $457.09 / $831.76 / $1,202.26	Professional	QZ	$457.09	$831.76	$1,202.26
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $162.18 / $331.13 / $446.68	Professional	AA	$162.18	$331.13	$446.68
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $81.28 / $123.03 / $173.78	Professional	QX	$81.28	$123.03	$173.78
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $85.11 / $85.11 / $154.88	Professional	QY	$85.11	$85.11	$154.88
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $141.25 / $263.03 / $416.87	Professional	QZ	$141.25	$263.03	$416.87