Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $398.40 / $711.54 / $1,120.00	Professional	AA	$398.40	$711.54	$1,120.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $524.52 / $524.52 / $524.52	Professional	QZ	$524.52	$524.52	$524.52
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $194.88 / $525.00 / $581.00	Professional	AA	$194.88	$525.00	$581.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $135.72 / $498.00 / $585.00	Professional	QZ	$135.72	$498.00	$585.00
Asuris Northwest Health Facility/Professional Professional Modifier AA Low / Median / High Price $964.60 / $964.60 / $964.60	Professional	AA	$964.60	$964.60	$964.60