Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $398.40 / $558.45 / $1,260.00	Professional	AA	$398.40	$558.45	$1,260.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $363.60 / $363.60 / $363.60	Professional	QZ	$363.60	$363.60	$363.60
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $120.66 / $241.32 / $747.46	Professional	AA	$120.66	$241.32	$747.46
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $140.77 / $140.77 / $640.67	Professional	QZ	$140.77	$140.77	$640.67