Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $695.20 / $695.20 / $695.20	Professional	QZ	$695.20	$695.20	$695.20
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $158.03 / $158.03 / $590.00	Professional	QZ	$158.03	$158.03	$590.00