Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $172.30 / $765.00 / $1,540.00	Professional	AA	$172.30	$765.00	$1,540.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $727.20 / $727.20 / $1,074.42	Professional	QZ	$727.20	$727.20	$1,074.42
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $140.77 / $267.87 / $751.23	Professional	AA	$140.77	$267.87	$751.23
Ambetter Facility/Professional Professional Modifier QK Low / Median / High Price $133.93 / $133.93 / $133.93	Professional	QK	$133.93	$133.93	$133.93
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $133.93 / $133.93 / $227.50	Professional	QX	$133.93	$133.93	$227.50
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $120.66 / $174.33 / $700.00	Professional	QZ	$120.66	$174.33	$700.00