Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,156.00 / $1,228.25 / $1,806.25	Professional	AA	$1,156.00	$1,228.25	$1,806.25
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $653.14 / $653.14 / $653.14	Professional	QZ	$653.14	$653.14	$653.14
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $825.00 / $825.00 / $825.00	Professional	AA	$825.00	$825.00	$825.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $918.00 / $1,428.00 / $1,778.40	Professional	QZ	$918.00	$1,428.00	$1,778.40
Qualchoice Facility/Professional Professional Modifier AA Low / Median / High Price $948.75 / $948.75 / $2,213.75	Professional	AA	$948.75	$948.75	$2,213.75
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $938.40 / $1,583.55 / $2,045.16	Professional	QZ	$938.40	$1,583.55	$2,045.16