Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $177.83 / $933.25 / $1,778.28	Professional	AA	$177.83	$933.25	$1,778.28
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $870.96 / $870.96 / $870.96	Professional	QZ	$870.96	$870.96	$870.96
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $218.78 / $218.78 / $223.87	Professional	AA	$218.78	$218.78	$223.87
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $239.88 / $302.00 / $831.76	Professional	QZ	$239.88	$302.00	$831.76
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $478.63 / $812.83 / $954.99	Professional	QZ	$478.63	$812.83	$954.99