Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $562.65 / $562.65 / $562.65	Facility	QX	$562.65	$562.65	$562.65
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,698.80 / $1,888.60 / $3,697.40	Professional	AA	$1,698.80	$1,888.60	$3,697.40
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $1,464.10 / $1,464.10 / $1,464.10	Professional	QZ	$1,464.10	$1,464.10	$1,464.10
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $720.00 / $1,610.00 / $3,360.00	Professional	AA	$720.00	$1,610.00	$3,360.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $538.98 / $1,690.00 / $2,760.00	Professional	QZ	$538.98	$1,690.00	$2,760.00