Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $539.40 / $539.40 / $539.40	Professional	QZ	$539.40	$539.40	$539.40
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $162.21 / $213.29 / $213.29	Professional	QZ	$162.21	$213.29	$213.29