Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $865.80 / $865.80 / $865.80	Facility	QZ	$865.80	$865.80	$865.80
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $552.00 / $552.00 / $552.00	Professional	AA	$552.00	$552.00	$552.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $158.34 / $158.34 / $1,150.00	Professional	QZ	$158.34	$158.34	$1,150.00