Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $907.50 / $1,040.59 / $1,423.80	Professional	AA	$907.50	$1,040.59	$1,423.80
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $895.40 / $970.90 / $1,355.20	Professional	QZ	$895.40	$970.90	$1,355.20
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $315.68 / $910.00 / $1,170.00	Professional	AA	$315.68	$910.00	$1,170.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $208.94 / $920.00 / $1,430.00	Professional	QZ	$208.94	$920.00	$1,430.00
United Facility/Professional Professional Modifier QZ Low / Median / High Price $90.00 / $90.00 / $90.00	Professional	QZ	$90.00	$90.00	$90.00