Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $514.91 / $764.40 / $1,260.00	Professional	AA	$514.91	$764.40	$1,260.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $598.40 / $650.25 / $659.60	Professional	QZ	$598.40	$650.25	$659.60
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $158.32 / $216.10 / $520.00	Professional	AA	$158.32	$216.10	$520.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $200.60 / $220.66 / $237.05	Professional	QZ	$200.60	$220.66	$237.05
United Facility/Professional Professional Modifier AA Low / Median / High Price $88.00 / $88.00 / $88.00	Professional	AA	$88.00	$88.00	$88.00