Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $218.78 / $724.44 / $1,174.90	Professional	AA	$218.78	$724.44	$1,174.90
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $131.83 / $131.83 / $131.83	Professional	QZ	$131.83	$131.83	$131.83
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $169.82 / $213.80 / $954.99	Professional	AA	$169.82	$213.80	$954.99
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $141.25 / $162.18 / $213.80	Professional	QZ	$141.25	$162.18	$213.80