Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $867.00 / $867.00 / $867.00	Professional	QZ	$867.00	$867.00	$867.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $510.00 / $517.50 / $714.00	Professional	QZ	$510.00	$517.50	$714.00
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $469.20 / $586.50 / $821.10	Professional	QZ	$469.20	$586.50	$821.10