Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $407.38 / $870.96 / $1,698.24	Professional	AA	$407.38	$870.96	$1,698.24
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $316.23 / $794.33 / $1,698.24	Professional	QZ	$316.23	$794.33	$1,698.24
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $158.49 / $309.03 / $794.33	Professional	AA	$158.49	$309.03	$794.33
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $158.49 / $309.03 / $707.95	Professional	QZ	$158.49	$309.03	$707.95