Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $660.69 / $660.69 / $660.69	Facility	QZ	$660.69	$660.69	$660.69
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $501.19 / $1,096.48 / $1,698.24	Professional	AA	$501.19	$1,096.48	$1,698.24
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $316.23 / $1,122.02 / $1,737.80	Professional	QZ	$316.23	$1,122.02	$1,737.80
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $158.49 / $213.80 / $239.88	Professional	AA	$158.49	$213.80	$239.88
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $141.25 / $177.83 / $263.03	Professional	QZ	$141.25	$177.83	$263.03