Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $139.79 / $437.31 / $693.60	Professional	QZ	$139.79	$437.31	$693.60
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $175.59 / $243.88 / $590.00	Professional	QZ	$175.59	$243.88	$590.00