Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $169.99 / $1,120.00 / $1,820.00	Professional	AA	$169.99	$1,120.00	$1,820.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $216.10 / $216.10 / $216.10	Professional	AA	$216.10	$216.10	$216.10
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $239.87 / $268.52 / $510.00	Professional	QZ	$239.87	$268.52	$510.00
United Facility/Professional Professional Modifier AA Low / Median / High Price $88.00 / $88.00 / $903.50	Professional	AA	$88.00	$88.00	$903.50