Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $433.50 / $516.60 / $722.50	Professional	AA	$433.50	$516.60	$722.50
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $153.62 / $545.60 / $650.25	Professional	QZ	$153.62	$545.60	$650.25
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $561.00 / $561.00 / $612.00	Professional	AA	$561.00	$561.00	$612.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $360.57 / $460.00 / $684.00	Professional	QZ	$360.57	$460.00	$684.00
Qualchoice Facility/Professional Professional Modifier AA Low / Median / High Price $527.85 / $645.15 / $703.80	Professional	AA	$527.85	$645.15	$703.80
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $410.55 / $529.00 / $786.60	Professional	QZ	$410.55	$529.00	$786.60