Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $645.65 / $724.44 / $1,318.26	Professional	AA	$645.65	$724.44	$1,318.26
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $794.33 / $794.33 / $870.96	Professional	QZ	$794.33	$794.33	$870.96
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $213.80 / $213.80 / $213.80	Professional	AA	$213.80	$213.80	$213.80
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $141.25 / $181.97 / $213.80	Professional	QZ	$141.25	$181.97	$213.80