Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $385.00 / $486.25 / $639.00	Professional	AA	$385.00	$486.25	$639.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $292.50 / $385.00 / $825.00	Professional	QZ	$292.50	$385.00	$825.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $154.96 / $226.63 / $552.00	Professional	AA	$154.96	$226.63	$552.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $158.32 / $298.30 / $880.00	Professional	QZ	$158.32	$298.30	$880.00
United Facility/Professional Professional Modifier QZ Low / Median / High Price $60.00 / $60.00 / $60.00	Professional	QZ	$60.00	$60.00	$60.00