Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $332.68 / $1,004.30 / $2,082.80	Professional	AA	$332.68	$1,004.30	$2,082.80
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $690.56 / $690.56 / $690.56	Professional	QZ	$690.56	$690.56	$690.56
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $402.07 / $1,690.00 / $2,600.00	Professional	AA	$402.07	$1,690.00	$2,600.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $885.15 / $1,300.00 / $1,690.00	Professional	QZ	$885.15	$1,300.00	$1,690.00
United Facility/Professional Professional Modifier QZ Low / Median / High Price $95.00 / $95.00 / $95.00	Professional	QZ	$95.00	$95.00	$95.00