Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $549.54 / $1,071.52 / $1,412.54	Professional	AA	$549.54	$1,071.52	$1,412.54
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $144.54 / $489.78 / $933.25	Professional	QZ	$144.54	$489.78	$933.25
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $169.82 / $239.88 / $562.34	Professional	AA	$169.82	$239.88	$562.34
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $194.98 / $457.09 / $758.58	Professional	QZ	$194.98	$457.09	$758.58
Qualchoice Facility/Professional Professional Modifier AA Low / Median / High Price $354.81 / $524.81 / $954.99	Professional	AA	$354.81	$524.81	$954.99
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $467.74 / $660.69 / $891.25	Professional	QZ	$467.74	$660.69	$891.25