Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $400.00 / $450.00	Facility		$45.00	$400.00	$450.00
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,021.80 / $1,021.80 / $1,021.80	Professional	AA	$1,021.80	$1,021.80	$1,021.80
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $100.55 / $100.55 / $100.55	Professional	AA	$100.55	$100.55	$100.55
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $111.38 / $133.65 / $296.85	Professional	QZ	$111.38	$133.65	$296.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.62 / $130.75 / $201.45	Facility		$51.62	$130.75	$201.45