Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $97.72 / $436.52 / $537.03	Professional	AA	$97.72	$436.52	$537.03
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $549.54 / $549.54 / $549.54	Professional	AA	$549.54	$549.54	$549.54
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $346.74 / $398.11 / $478.63	Professional	QZ	$346.74	$398.11	$478.63
Qualchoice Facility/Professional Professional Modifier AA Low / Median / High Price $630.96 / $630.96 / $630.96	Professional	AA	$630.96	$630.96	$630.96
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $398.11 / $467.74 / $549.54	Professional	QZ	$398.11	$467.74	$549.54