Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $350.00 / $450.70	Facility		$48.00	$350.00	$450.70
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $769.60 / $769.60 / $769.60	Facility	QZ	$769.60	$769.60	$769.60
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $158.34 / $158.34 / $476.00	Professional	AA	$158.34	$158.34	$476.00
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $266.95 / $266.95 / $266.95	Professional	QX	$266.95	$266.95	$266.95
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $120.36 / $160.47 / $213.15	Professional	QZ	$120.36	$160.47	$213.15