Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility	QZ	$1,621.81	$1,621.81	$1,621.81
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $645.65 / $1,258.93 / $2,041.74	Professional	AA	$645.65	$1,258.93	$2,041.74
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $234.42 / $912.01 / $1,698.24	Professional	QZ	$234.42	$912.01	$1,698.24
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $354.81 / $741.31 / $1,096.48	Professional	AA	$354.81	$741.31	$1,096.48
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $181.97 / $323.59 / $588.84	Professional	QZ	$181.97	$323.59	$588.84