Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $584.60 / $840.00 / $1,400.00	Professional	AA	$584.60	$840.00	$1,400.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $350.56 / $480.00 / $760.00	Professional	AA	$350.56	$480.00	$760.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $160.88 / $160.88 / $483.00	Professional	QZ	$160.88	$160.88	$483.00
United Facility/Professional Professional Modifier QZ Low / Median / High Price $632.45 / $632.45 / $632.45	Professional	QZ	$632.45	$632.45	$632.45