Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $616.60 / $1,023.29 / $2,398.83	Professional	AA	$616.60	$1,023.29	$2,398.83
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $257.04 / $588.84 / $912.01	Professional	QX	$257.04	$588.84	$912.01
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $251.19 / $478.63 / $812.83	Professional	QY	$251.19	$478.63	$812.83
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $389.05 / $602.56 / $1,412.54	Professional	QZ	$389.05	$602.56	$1,412.54
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $218.78 / $588.84 / $1,513.56	Professional	AA	$218.78	$588.84	$1,513.56
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $102.33 / $131.83 / $354.81	Professional	QX	$102.33	$131.83	$354.81
Ambetter Facility/Professional Professional Modifier QY Low / Median / High Price $229.09 / $229.09 / $229.09	Professional	QY	$229.09	$229.09	$229.09
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $194.98 / $288.40 / $707.95	Professional	QZ	$194.98	$288.40	$707.95