Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $171.08 / $171.08 / $171.08	Professional	AA	$171.08	$171.08	$171.08
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $880.00 / $880.00 / $880.00	Professional	QZ	$880.00	$880.00	$880.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $990.00 / $990.00 / $990.00	Professional	AA	$990.00	$990.00	$990.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $412.08 / $510.00 / $862.50	Professional	QZ	$412.08	$510.00	$862.50
Qualchoice Facility/Professional Professional Modifier AA Low / Median / High Price $1,138.50 / $1,138.50 / $1,138.50	Professional	AA	$1,138.50	$1,138.50	$1,138.50
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $473.89 / $586.50 / $786.60	Professional	QZ	$473.89	$586.50	$786.60