Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $614.20 / $1,120.00 / $1,400.00	Professional	AA	$614.20	$1,120.00	$1,400.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $818.10 / $818.10 / $818.10	Professional	QZ	$818.10	$818.10	$818.10
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $394.38 / $394.38 / $394.38	Professional	AA	$394.38	$394.38	$394.38
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $140.77 / $140.77 / $700.00	Professional	QZ	$140.77	$140.77	$700.00