Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $478.63 / $478.63 / $954.99	Facility	QZ	$478.63	$478.63	$954.99
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $676.08 / $1,122.02 / $2,041.74	Professional	AA	$676.08	$1,122.02	$2,041.74
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $776.25 / $954.99 / $1,995.26	Professional	QZ	$776.25	$954.99	$1,995.26
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $263.03 / $263.03 / $263.03	Professional	AA	$263.03	$263.03	$263.03
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $117.49 / $173.78 / $1,202.26	Professional	QZ	$117.49	$173.78	$1,202.26