Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional	AA	$1,995.26	$1,995.26	$1,995.26
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $117.49 / $229.09 / $870.96	Professional	QZ	$117.49	$229.09	$870.96
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $162.18 / $218.78 / $407.38	Professional	QZ	$162.18	$218.78	$407.38
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $467.74 / $467.74 / $467.74	Professional	QZ	$467.74	$467.74	$467.74