Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $144.54 / $741.31 / $1,174.90	Professional	AA	$144.54	$741.31	$1,174.90
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $346.74 / $549.54 / $645.65	Professional	QZ	$346.74	$549.54	$645.65
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $120.23 / $199.53 / $562.34	Professional	AA	$120.23	$199.53	$562.34
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $162.18 / $457.09 / $691.83	Professional	QZ	$162.18	$457.09	$691.83
Qualchoice Facility/Professional Professional Modifier AA Low / Median / High Price $524.81 / $524.81 / $645.65	Professional	AA	$524.81	$524.81	$645.65
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $407.38 / $588.84 / $812.83	Professional	QZ	$407.38	$588.84	$812.83