Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $120.23 / $120.23 / $120.23	Facility	QX	$120.23	$120.23	$120.23
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $245.47 / $371.54 / $630.96	Professional	QZ	$245.47	$371.54	$630.96
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $218.78 / $218.78 / $346.74	Professional	QZ	$218.78	$218.78	$346.74