Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $433.50 / $939.25 / $1,661.75	Professional	AA	$433.50	$939.25	$1,661.75
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $142.15 / $650.25 / $1,083.75	Professional	QZ	$142.15	$650.25	$1,083.75
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $306.00 / $459.00 / $1,485.00	Professional	AA	$306.00	$459.00	$1,485.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $354.96 / $459.00 / $547.20	Professional	QZ	$354.96	$459.00	$547.20
Qualchoice Facility/Professional Professional Modifier AA Low / Median / High Price $351.90 / $586.50 / $1,707.75	Professional	AA	$351.90	$586.50	$1,707.75
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $408.20 / $527.85 / $645.15	Professional	QZ	$408.20	$527.85	$645.15