Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $481.00 / $481.00 / $962.00	Facility	QZ	$481.00	$481.00	$962.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $612.00 / $612.00 / $680.00	Professional	AA	$612.00	$612.00	$680.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $182.70 / $235.48 / $1,495.00	Professional	QZ	$182.70	$235.48	$1,495.00