Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $361.25 / $433.50 / $650.25	Professional	AA	$361.25	$433.50	$650.25
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $119.70 / $578.00 / $1,228.25	Professional	QZ	$119.70	$578.00	$1,228.25
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $255.00 / $510.00 / $660.00	Professional	AA	$255.00	$510.00	$660.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $306.00 / $408.00 / $517.50	Professional	QZ	$306.00	$408.00	$517.50
Qualchoice Facility/Professional Professional Modifier AA Low / Median / High Price $351.90 / $527.85 / $948.75	Professional	AA	$351.90	$527.85	$948.75
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $351.90 / $469.20 / $822.25	Professional	QZ	$351.90	$469.20	$822.25