Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $645.65 / $1,122.02 / $1,737.80	Professional	AA	$645.65	$1,122.02	$1,737.80
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 $190.55 / $190.55 / $190.55	Professional	AA	$190.55	$190.55	$190.55
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $162.18 / $181.97 / $354.81	Professional	QZ	$162.18	$181.97	$354.81
Aultcare Facility/Professional Professional Modifier QZ Low / Median / High Price $645.65 / $645.65 / $645.65	Professional	QZ	$645.65	$645.65	$645.65