Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $262.50 / $300.00	Facility		$40.00	$262.50	$300.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $157.60 / $157.60 / $157.60	Professional	QZ	$157.60	$157.60	$157.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $40.00 / $42.00	Facility		$40.00	$40.00	$42.00