Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,540.00 / $1,540.00 / $1,540.00	Professional	AA	$1,540.00	$1,540.00	$1,540.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $52.00 / $118.30 / $452.40	Professional	QZ	$52.00	$118.30	$452.40
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $510.00 / $510.00 / $510.00	Professional	QZ	$510.00	$510.00	$510.00
United Facility/Professional Professional Modifier QZ Low / Median / High Price $75.00 / $75.00 / $75.00	Professional	QZ	$75.00	$75.00	$75.00