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 / $1,071.52	Professional	AA	$177.83	$933.25	$1,071.52
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $177.83 / $758.58 / $758.58	Professional	QZ	$177.83	$758.58	$758.58
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $223.87 / $223.87 / $223.87	Professional	AA	$223.87	$223.87	$223.87
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $199.53 / $257.04 / $645.65	Professional	QZ	$199.53	$257.04	$645.65