Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $666.00 / $666.00 / $666.00	Facility	QZ	$666.00	$666.00	$666.00
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,068.76 / $1,138.16 / $1,728.06	Professional	AA	$1,068.76	$1,138.16	$1,728.06
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $722.50 / $722.50 / $722.50	Professional	QZ	$722.50	$722.50	$722.50
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $220.66 / $220.66 / $220.66	Professional	AA	$220.66	$220.66	$220.66
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $198.59 / $198.59 / $198.59	Professional	QZ	$198.59	$198.59	$198.59