Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $48.00 / $270.00	Facility		$48.00	$48.00	$270.00
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $146.21 / $146.21 / $146.21	Professional	AA	$146.21	$146.21	$146.21
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $375.00 / $375.00 / $375.00	Professional	QZ	$375.00	$375.00	$375.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $133.65 / $133.65 / $133.65	Professional	QZ	$133.65	$133.65	$133.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.21 / $158.32 / $400.00	Facility		$57.21	$158.32	$400.00