Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
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 $1,273.00 / $1,273.00 / $1,273.00	Professional	AA	$1,273.00	$1,273.00	$1,273.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $176.61 / $200.60 / $1,380.00	Professional	QZ	$176.61	$200.60	$1,380.00