Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $396.37 / $486.25 / $1,400.00	Professional	AA	$396.37	$486.25	$1,400.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $655.20 / $825.00 / $1,194.00	Professional	QZ	$655.20	$825.00	$1,194.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $135.59 / $197.90 / $309.92	Professional	AA	$135.59	$197.90	$309.92
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $150.44 / $170.46 / $828.00	Professional	QZ	$150.44	$170.46	$828.00