Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $673.40 / $673.40 / $673.40	Facility	QZ	$673.40	$673.40	$673.40
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $548.79 / $548.79 / $548.79	Professional	QZ	$548.79	$548.79	$548.79
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $595.00 / $667.36 / $690.00	Professional	AA	$595.00	$667.36	$690.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $220.66 / $243.60 / $274.05	Professional	QZ	$220.66	$243.60	$274.05