Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $338.84 / $851.14 / $870.96	Facility	QX	$338.84	$851.14	$870.96
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility	QZ	$1,513.56	$1,513.56	$1,513.56
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $645.65 / $1,174.90 / $2,137.96	Professional	AA	$645.65	$1,174.90	$2,137.96
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $501.19 / $870.96 / $1,412.54	Professional	QZ	$501.19	$870.96	$1,412.54
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $154.88 / $263.03 / $724.44	Professional	AA	$154.88	$263.03	$724.44
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $162.18 / $245.47 / $616.60	Professional	QZ	$162.18	$245.47	$616.60