Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $354.81 / $575.44 / $851.14	Professional	AA	$354.81	$575.44	$851.14
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $316.23 / $489.78 / $645.65	Professional	QZ	$316.23	$489.78	$645.65
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $158.49 / $177.83 / $407.38	Professional	AA	$158.49	$177.83	$407.38
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $162.18 / $354.81 / $537.03	Professional	QZ	$162.18	$354.81	$537.03
Qualchoice Facility/Professional Professional Modifier AA Low / Median / High Price $467.74 / $467.74 / $467.74	Professional	AA	$467.74	$467.74	$467.74
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $354.81 / $467.74 / $616.60	Professional	QZ	$354.81	$467.74	$616.60