Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,445.00 / $1,445.00 / $1,445.00	Professional	AA	$1,445.00	$1,445.00	$1,445.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $1,372.75 / $1,372.75 / $1,372.75	Professional	QZ	$1,372.75	$1,372.75	$1,372.75
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $357.00 / $772.65 / $825.00	Professional	AA	$357.00	$772.65	$825.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $459.00 / $612.00 / $969.00	Professional	QZ	$459.00	$612.00	$969.00
Qualchoice Facility/Professional Professional Modifier AA Low / Median / High Price $410.55 / $885.50 / $1,454.75	Professional	AA	$410.55	$885.50	$1,454.75
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $645.15 / $925.75 / $1,114.34	Professional	QZ	$645.15	$925.75	$1,114.34