Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $213.80 / $707.95 / $1,174.90	Professional	AA	$213.80	$707.95	$1,174.90
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $131.83 / $131.83 / $660.69	Professional	QZ	$131.83	$131.83	$660.69
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $169.82 / $169.82 / $199.53	Professional	AA	$169.82	$169.82	$199.53
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $141.25 / $407.38 / $1,445.44	Professional	QZ	$141.25	$407.38	$1,445.44
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $416.87 / $645.65 / $1,659.59	Professional	QZ	$416.87	$645.65	$1,659.59