Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $179.16 / $288.14 / $307.23	Professional	QZ	$179.16	$288.14	$307.23
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $663.00 / $765.00 / $1,778.40	Professional	QZ	$663.00	$765.00	$1,778.40
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $762.45 / $991.88 / $1,494.54	Professional	QZ	$762.45	$991.88	$1,494.54