Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $77.62 / $302.00 / $891.25	Facility	QX	$77.62	$302.00	$891.25
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $467.74 / $912.01 / $1,778.28	Professional	AA	$467.74	$912.01	$1,778.28
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $346.74 / $630.96 / $954.99	Professional	QZ	$346.74	$630.96	$954.99
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $162.18 / $208.93 / $616.60	Professional	AA	$162.18	$208.93	$616.60
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $123.03 / $186.21 / $354.81	Professional	QZ	$123.03	$186.21	$354.81