Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $377.30 / $377.30 / $377.30	Professional	QZ	$377.30	$377.30	$377.30
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $345.00 / $345.00 / $345.00	Professional	QZ	$345.00	$345.00	$345.00
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $396.75 / $396.75 / $396.75	Professional	QZ	$396.75	$396.75	$396.75