Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $177.83 / $177.83 / $309.03	Professional	QZ	$177.83	$177.83	$309.03
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $263.03 / $316.23 / $954.99	Professional	AA	$263.03	$316.23	$954.99
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $194.98 / $758.58 / $1,288.25	Professional	QZ	$194.98	$758.58	$1,288.25
Qualchoice Facility/Professional Professional Modifier AA Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional	AA	$1,096.48	$1,096.48	$1,096.48
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $812.83 / $1,047.13 / $1,230.27	Professional	QZ	$812.83	$1,047.13	$1,230.27