Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $578.00 / $578.00 / $578.00	Professional	AA	$578.00	$578.00	$578.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $296.80 / $578.00 / $578.00	Professional	QZ	$296.80	$578.00	$578.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $309.06 / $463.59 / $510.00	Professional	AA	$309.06	$463.59	$510.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $309.06 / $309.06 / $360.57	Professional	QZ	$309.06	$309.06	$360.57
Qualchoice Facility/Professional Professional Modifier AA Low / Median / High Price $355.42 / $355.42 / $586.50	Professional	AA	$355.42	$355.42	$586.50
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $355.42 / $355.42 / $414.66	Professional	QZ	$355.42	$355.42	$414.66