Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $676.08 / $676.08 / $676.08	Facility	QZ	$676.08	$676.08	$676.08
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $691.83 / $831.76 / $1,288.25	Professional	AA	$691.83	$831.76	$1,288.25
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $295.12 / $776.25 / $1,230.27	Professional	QZ	$295.12	$776.25	$1,230.27
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $208.93 / $223.87 / $338.84	Professional	AA	$208.93	$223.87	$338.84
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $162.18 / $616.60 / $831.76	Professional	QZ	$162.18	$616.60	$831.76