Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $660.00 / $660.00 / $660.00	Facility	QZ	$660.00	$660.00	$660.00
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $492.00 / $492.00 / $924.00	Professional	AA	$492.00	$492.00	$924.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $672.00 / $884.80 / $1,008.00	Professional	QZ	$672.00	$884.80	$1,008.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $98.50 / $157.60 / $236.40	Professional	AA	$98.50	$157.60	$236.40
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $137.90 / $236.40 / $372.33	Professional	QZ	$137.90	$236.40	$372.33