Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $456.50 / $632.40 / $1,209.22	Professional	AA	$456.50	$632.40	$1,209.22
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $896.50 / $896.50 / $896.50	Professional	QZ	$896.50	$896.50	$896.50
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $197.90 / $421.40 / $621.00	Professional	AA	$197.90	$421.40	$621.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $250.75 / $250.75 / $816.34	Professional	QZ	$250.75	$250.75	$816.34