Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $676.08 / $676.08 / $676.08	Facility	QZ	$676.08	$676.08	$676.08
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $724.44 / $977.24 / $1,698.24	Professional	AA	$724.44	$977.24	$1,698.24
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $758.58 / $1,258.93 / $2,511.89	Professional	QZ	$758.58	$1,258.93	$2,511.89
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $117.49 / $117.49 / $117.49	Professional	AA	$117.49	$117.49	$117.49
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $138.04 / $177.83 / $218.78	Professional	QZ	$138.04	$177.83	$218.78