Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $131.50 / $148.10 / $164.39	Professional	QZ	$131.50	$148.10	$164.39
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $561.00 / $561.00 / $561.00	Professional	AA	$561.00	$561.00	$561.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $408.00 / $459.00 / $684.00	Professional	QZ	$408.00	$459.00	$684.00
Qualchoice Facility/Professional Professional Modifier AA Low / Median / High Price $645.15 / $645.15 / $645.15	Professional	AA	$645.15	$645.15	$645.15
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $469.20 / $527.85 / $786.60	Professional	QZ	$469.20	$527.85	$786.60