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 $413.00 / $413.00 / $413.00	Professional	QZ	$413.00	$413.00	$413.00