Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $534.75 / $534.75 / $534.75	Professional	QZ	$534.75	$534.75	$534.75
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $289.88 / $289.88 / $289.88	Professional	AA	$289.88	$289.88	$289.88
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $193.90 / $193.90 / $315.08	Professional	QZ	$193.90	$193.90	$315.08