Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $257.04 / $1,174.90 / $1,698.24	Professional	AA	$257.04	$1,174.90	$1,698.24
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $354.81 / $724.44 / $891.25	Professional	QZ	$354.81	$724.44	$891.25
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $141.25 / $162.18 / $199.53	Professional	QZ	$141.25	$162.18	$199.53
Aultcare Facility/Professional Professional Modifier QZ Low / Median / High Price $575.44 / $602.56 / $676.08	Professional	QZ	$575.44	$602.56	$676.08