Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $758.58 / $2,089.30 / $2,818.38	Professional	AA	$758.58	$2,089.30	$2,818.38
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $117.49 / $812.83 / $1,148.15	Professional	QZ	$117.49	$812.83	$1,148.15
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $141.25 / $186.21 / $251.19	Professional	QZ	$141.25	$186.21	$251.19
Aultcare Facility/Professional Professional Modifier QZ Low / Median / High Price $457.09 / $501.19 / $616.60	Professional	QZ	$457.09	$501.19	$616.60