Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $169.99 / $980.00 / $1,820.00	Professional	AA	$169.99	$980.00	$1,820.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $734.59 / $734.59 / $734.59	Professional	QZ	$734.59	$734.59	$734.59
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $438.34 / $600.00 / $738.40	Professional	AA	$438.34	$600.00	$738.40
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $155.12 / $213.29 / $324.80	Professional	QZ	$155.12	$213.29	$324.80
United Facility/Professional Professional Modifier AA Low / Median / High Price $88.00 / $88.00 / $903.50	Professional	AA	$88.00	$88.00	$903.50