Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $386.40 / $386.40 / $386.40	Professional	QZ	$386.40	$386.40	$386.40
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $121.94 / $158.32 / $273.82	Professional	QZ	$121.94	$158.32	$273.82