Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $689.48 / $689.48 / $1,116.00	Professional	QZ	$689.48	$689.48	$1,116.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $200.60 / $750.00 / $880.00	Professional	QZ	$200.60	$750.00	$880.00