Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $505.75 / $578.00 / $887.40	Professional	AA	$505.75	$578.00	$887.40
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $578.00 / $794.75 / $794.75	Professional	QZ	$578.00	$794.75	$794.75
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $357.00 / $385.00 / $440.00	Professional	AA	$357.00	$385.00	$440.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $360.57 / $360.57 / $360.57	Professional	QZ	$360.57	$360.57	$360.57
Qualchoice Facility/Professional Professional Modifier AA Low / Median / High Price $410.55 / $442.75 / $506.00	Professional	AA	$410.55	$442.75	$506.00
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $414.66 / $414.66 / $414.66	Professional	QZ	$414.66	$414.66	$414.66