Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $673.40 / $673.40 / $673.40	Facility	QZ	$673.40	$673.40	$673.40
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $612.00 / $748.00 / $800.84	Professional	AA	$612.00	$748.00	$800.84
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $225.60 / $334.95 / $1,150.00	Professional	QZ	$225.60	$334.95	$1,150.00