Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $366.00 / $366.00 / $366.00	Facility	QZ	$366.00	$366.00	$366.00
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $840.00 / $1,400.00 / $2,100.00	Professional	AA	$840.00	$1,400.00	$2,100.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $594.00 / $594.00 / $594.00	Professional	QZ	$594.00	$594.00	$594.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $138.66 / $138.66 / $935.00	Professional	QZ	$138.66	$138.66	$935.00