Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $245.47 / $891.25 / $1,698.24	Professional	AA	$245.47	$891.25	$1,698.24
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $251.19 / $676.08 / $1,905.46	Professional	QZ	$251.19	$676.08	$1,905.46
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $169.82 / $239.88 / $831.76	Professional	AA	$169.82	$239.88	$831.76
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $194.98 / $234.42 / $645.65	Professional	QZ	$194.98	$234.42	$645.65