Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility	QX	$1,479.11	$1,479.11	$1,479.11
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,659.59 / $2,454.71 / $3,715.35	Professional	AA	$1,659.59	$2,454.71	$3,715.35
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $371.54 / $602.56 / $2,951.21	Professional	QZ	$371.54	$602.56	$2,951.21
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $616.60 / $616.60 / $1,380.38	Professional	AA	$616.60	$616.60	$1,380.38
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $912.01 / $912.01 / $912.01	Professional	QZ	$912.01	$912.01	$912.01