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 / $689.48	Professional	QZ	$689.48	$689.48	$689.48
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $200.60 / $200.60 / $200.60	Professional	QZ	$200.60	$200.60	$200.60