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
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $585.60 / $585.60 / $585.60	Professional	QZ	$585.60	$585.60	$585.60
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $245.00 / $318.79 / $646.10	Professional	AA	$245.00	$318.79	$646.10
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $162.88 / $455.00 / $747.00	Professional	QZ	$162.88	$455.00	$747.00
United Facility/Professional Professional Modifier AA Low / Median / High Price $75.00 / $75.00 / $75.00	Professional	AA	$75.00	$75.00	$75.00
United Facility/Professional Professional Modifier QZ Low / Median / High Price $632.45 / $632.45 / $632.45	Professional	QZ	$632.45	$632.45	$632.45