Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $230.02 / $230.02 / $230.02	Professional	QZ	$230.02	$230.02	$230.02
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $714.00 / $1,094.40 / $2,603.04	Professional	QZ	$714.00	$1,094.40	$2,603.04
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $821.10 / $1,258.56 / $1,494.54	Professional	QZ	$821.10	$1,258.56	$1,494.54