Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $794.33 / $1,548.82 / $2,691.53	Professional	AA	$794.33	$1,548.82	$2,691.53
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $380.19 / $676.08 / $977.24	Professional	QX	$380.19	$676.08	$977.24
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $316.23 / $676.08 / $977.24	Professional	QY	$316.23	$676.08	$977.24
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $501.19 / $977.24 / $1,949.84	Professional	QZ	$501.19	$977.24	$1,949.84
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $380.19 / $831.76 / $1,412.54	Professional	AA	$380.19	$831.76	$1,412.54
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $194.98 / $229.09 / $295.12	Professional	QX	$194.98	$229.09	$295.12
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 $263.03 / $831.76 / $1,258.93	Professional	QZ	$263.03	$831.76	$1,258.93