Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $2,312.00 / $2,312.00 / $2,312.00	Professional	AA	$2,312.00	$2,312.00	$2,312.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $1,124.20 / $1,124.20 / $1,124.20	Professional	QZ	$1,124.20	$1,124.20	$1,124.20
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $1,326.00 / $1,326.00 / $1,326.00	Professional	AA	$1,326.00	$1,326.00	$1,326.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $714.00 / $977.50 / $1,368.00	Professional	QZ	$714.00	$977.50	$1,368.00
Qualchoice Facility/Professional Professional Modifier AA Low / Median / High Price $1,524.90 / $1,524.90 / $1,524.90	Professional	AA	$1,524.90	$1,524.90	$1,524.90
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $1,114.34 / $1,124.13 / $1,573.20	Professional	QZ	$1,114.34	$1,124.13	$1,573.20