Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $433.50 / $433.50 / $650.25	Professional	QZ	$433.50	$433.50	$650.25
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $330.00 / $330.00 / $1,026.00	Professional	QZ	$330.00	$330.00	$1,026.00
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $379.50 / $1,179.90 / $1,642.20	Professional	QZ	$379.50	$1,179.90	$1,642.20