Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $476.00 / $722.50 / $939.25	Professional	AA	$476.00	$722.50	$939.25
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $267.02 / $431.20 / $718.90	Professional	QZ	$267.02	$431.20	$718.90
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $157.60 / $459.00 / $969.00	Professional	AA	$157.60	$459.00	$969.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $408.00 / $575.00 / $805.00	Professional	QZ	$408.00	$575.00	$805.00
Qualchoice Facility/Professional Professional Modifier AA Low / Median / High Price $410.55 / $527.85 / $822.25	Professional	AA	$410.55	$527.85	$822.25
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $469.20 / $645.15 / $925.75	Professional	QZ	$469.20	$645.15	$925.75