Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $103.17 / $103.17 / $103.17	Professional	QZ	$103.17	$103.17	$103.17
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $143.36 / $255.00 / $306.00	Professional	QZ	$143.36	$255.00	$306.00
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $293.25 / $330.63 / $351.90	Professional	QZ	$293.25	$330.63	$351.90