Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $504.00 / $504.00 / $504.00	Professional	QZ	$504.00	$504.00	$504.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $79.23 / $111.49 / $139.04	Professional	QZ	$79.23	$111.49	$139.04