Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $516.60 / $516.60 / $794.75	Professional	AA	$516.60	$516.60	$794.75
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $558.00 / $558.00 / $558.00	Professional	QZ	$558.00	$558.00	$558.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $357.00 / $561.00 / $862.50	Professional	QZ	$357.00	$561.00	$862.50
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $410.55 / $586.50 / $991.88	Professional	QZ	$410.55	$586.50	$991.88