Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $776.25 / $1,174.90 / $1,479.11	Professional	AA	$776.25	$1,174.90	$1,479.11
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $173.78 / $954.99 / $1,174.90	Professional	QZ	$173.78	$954.99	$1,174.90
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $120.23 / $177.83 / $234.42	Professional	AA	$120.23	$177.83	$234.42
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $154.88 / $186.21 / $288.40	Professional	QZ	$154.88	$186.21	$288.40