Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.25 / $275.00 / $413.75	Facility		$21.25	$275.00	$413.75
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $108.07 / $410.80 / $700.00	Professional	AA	$108.07	$410.80	$700.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $100.55 / $120.66 / $120.66	Professional	AA	$100.55	$120.66	$120.66
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $360.00 / $360.00 / $360.00	Professional	QZ	$360.00	$360.00	$360.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $242.60 / $325.00 / $513.20	Professional		$242.60	$325.00	$513.20