Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $867.00 / $867.00 / $867.00	Professional	AA	$867.00	$867.00	$867.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $1,300.50 / $1,300.50 / $1,300.50	Professional	QZ	$1,300.50	$1,300.50	$1,300.50
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $463.59 / $605.00 / $684.00	Professional	QZ	$463.59	$605.00	$684.00
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $533.13 / $695.75 / $786.60	Professional	QZ	$533.13	$695.75	$786.60