Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $389.03 / $389.03 / $404.99	Professional	QZ	$389.03	$389.03	$404.99
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $1,173.00 / $1,368.00 / $2,188.92	Professional	QZ	$1,173.00	$1,368.00	$2,188.92
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $1,348.95 / $1,348.95 / $2,517.26	Professional	QZ	$1,348.95	$1,348.95	$2,517.26