Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $769.60 / $769.60 / $769.60	Facility	QZ	$769.60	$769.60	$769.60
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $140.41 / $180.54 / $805.00	Professional	QZ	$140.41	$180.54	$805.00