Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $494.15 / $3,243.01 / $4,381.50	Professional	AA	$494.15	$3,243.01	$4,381.50
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $453.26 / $453.26 / $453.26	Professional	QZ	$453.26	$453.26	$453.26
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $1,077.84 / $2,753.80 / $3,900.00	Professional	AA	$1,077.84	$2,753.80	$3,900.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $1,662.50 / $2,860.00 / $3,584.00	Professional	QZ	$1,662.50	$2,860.00	$3,584.00