Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $383.04 / $383.04 / $383.04	Professional	QZ	$383.04	$383.04	$383.04
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $969.00 / $1,071.00 / $2,188.80	Professional	QZ	$969.00	$1,071.00	$2,188.80
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $1,055.70 / $1,114.34 / $2,517.12	Professional	QZ	$1,055.70	$1,114.34	$2,517.12