Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $289.00 / $289.00 / $650.25	Professional	AA	$289.00	$289.00	$650.25
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $650.25 / $650.25 / $650.25	Professional	QZ	$650.25	$650.25	$650.25
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $330.00 / $330.00 / $330.00	Professional	AA	$330.00	$330.00	$330.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $204.00 / $204.00 / $204.00	Professional	QZ	$204.00	$204.00	$204.00
Qualchoice Facility/Professional Professional Modifier AA Low / Median / High Price $379.50 / $379.50 / $379.50	Professional	AA	$379.50	$379.50	$379.50
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $234.60 / $234.60 / $234.60	Professional	QZ	$234.60	$234.60	$234.60