Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $383.58 / $700.00 / $1,960.00	Professional	AA	$383.58	$700.00	$1,960.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $421.94 / $620.12 / $990.00	Professional	QZ	$421.94	$620.12	$990.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $158.32 / $237.48 / $552.00	Professional	AA	$158.32	$237.48	$552.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $118.74 / $325.42 / $1,012.00	Professional	QZ	$118.74	$325.42	$1,012.00