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 $108.07 / $108.07 / $700.00	Professional	AA	$108.07	$108.07	$700.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $133.65 / $296.85 / $296.85	Professional	QZ	$133.65	$296.85	$296.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.21 / $158.32 / $400.00	Facility		$57.21	$158.32	$400.00