Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $392.70 / $531.20 / $531.20	Professional	QZ	$392.70	$531.20	$531.20
Ambetter Facility/Professional Professional Modifier QX Low / Median / High Price $75.26 / $75.26 / $75.26	Professional	QX	$75.26	$75.26	$75.26
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $177.30 / $306.00 / $357.00	Professional	QZ	$177.30	$306.00	$357.00
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $293.25 / $351.90 / $351.90	Professional	QZ	$293.25	$351.90	$351.90