Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,657.67 / $1,657.67 / $1,657.67	Facility	QZ	$1,657.67	$1,657.67	$1,657.67
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $565.77 / $1,260.00 / $2,240.00	Professional	AA	$565.77	$1,260.00	$2,240.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $585.95 / $585.95 / $585.95	Professional	QZ	$585.95	$585.95	$585.95
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $381.64 / $674.80 / $1,107.59	Professional	AA	$381.64	$674.80	$1,107.59
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $182.70 / $323.95 / $913.00	Professional	QZ	$182.70	$323.95	$913.00
Asuris Northwest Health Facility/Professional Professional Modifier AA Low / Median / High Price $964.60 / $964.60 / $964.60	Professional	AA	$964.60	$964.60	$964.60
Asuris Northwest Health Facility/Professional Professional Modifier QZ Low / Median / High Price $522.67 / $522.67 / $522.67	Professional	QZ	$522.67	$522.67	$522.67