Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $124.87 / $361.25 / $842.40	Professional	AA	$124.87	$361.25	$842.40
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $92.21 / $110.10 / $578.00	Professional	QZ	$92.21	$110.10	$578.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $204.00 / $402.50 / $770.00	Professional	AA	$204.00	$402.50	$770.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $257.55 / $357.00 / $414.12	Professional	QZ	$257.55	$357.00	$414.12
Qualchoice Facility/Professional Professional Modifier AA Low / Median / High Price $234.60 / $592.37 / $885.50	Professional	AA	$234.60	$592.37	$885.50
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $234.60 / $393.30 / $471.96	Professional	QZ	$234.60	$393.30	$471.96