Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $884.80 / $884.80 / $884.80	Professional	QZ	$884.80	$884.80	$884.80
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $236.40 / $236.40 / $236.40	Professional	AA	$236.40	$236.40	$236.40
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $120.30 / $120.30 / $455.00	Professional	QZ	$120.30	$120.30	$455.00