Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $840.00 / $1,120.00 / $1,540.00	Professional	AA	$840.00	$1,120.00	$1,540.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $442.00 / $442.00 / $452.40	Professional	QZ	$442.00	$442.00	$452.40
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $256.80 / $256.80 / $256.80	Professional	AA	$256.80	$256.80	$256.80
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $306.00 / $408.00 / $653.66	Professional	QZ	$306.00	$408.00	$653.66
United Facility/Professional Professional Modifier QZ Low / Median / High Price $90.00 / $90.00 / $632.45	Professional	QZ	$90.00	$90.00	$632.45