Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $810.00 / $1,120.00 / $1,120.00	Professional	AA	$810.00	$1,120.00	$1,120.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $924.00 / $924.00 / $1,008.00	Professional	QZ	$924.00	$924.00	$1,008.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $197.00 / $216.70 / $256.10	Professional	AA	$197.00	$216.70	$256.10
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $149.72 / $216.70 / $650.00	Professional	QZ	$149.72	$216.70	$650.00