Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $210.00 / $310.00	Facility		$42.00	$210.00	$310.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $255.00 / $255.00 / $357.00	Professional	QZ	$255.00	$255.00	$357.00
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $293.25 / $293.25 / $351.90	Professional	QZ	$293.25	$293.25	$351.90