Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $392.00 / $392.00 / $454.51	Professional	AA	$392.00	$392.00	$454.51
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $545.60 / $650.25 / $722.50	Professional	QZ	$545.60	$650.25	$722.50
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $306.00 / $550.00 / $867.00	Professional	AA	$306.00	$550.00	$867.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $357.00 / $510.00 / $615.60	Professional	QZ	$357.00	$510.00	$615.60
Qualchoice Facility/Professional Professional Modifier AA Low / Median / High Price $351.90 / $527.85 / $822.25	Professional	AA	$351.90	$527.85	$822.25
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $410.55 / $586.50 / $707.94	Professional	QZ	$410.55	$586.50	$707.94