Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $630.96 / $776.25 / $1,096.48	Professional	AA	$630.96	$776.25	$1,096.48
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $467.74 / $467.74 / $512.86	Professional	QZ	$467.74	$467.74	$512.86
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $263.03 / $263.03 / $263.03	Professional	AA	$263.03	$263.03	$263.03
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $158.49 / $177.83 / $891.25	Professional	QZ	$158.49	$177.83	$891.25