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 $200.60 / $200.60 / $200.60	Professional	QZ	$200.60	$200.60	$200.60