Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $143.52 / $505.75 / $650.25	Professional	QZ	$143.52	$505.75	$650.25
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $357.00 / $360.57 / $561.00	Professional	AA	$357.00	$360.57	$561.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $306.00 / $402.50 / $495.00	Professional	QZ	$306.00	$402.50	$495.00
Qualchoice Facility/Professional Professional Modifier AA Low / Median / High Price $410.55 / $414.66 / $632.50	Professional	AA	$410.55	$414.66	$632.50
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $351.90 / $442.75 / $569.25	Professional	QZ	$351.90	$442.75	$569.25