Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $218.48 / $218.48 / $218.48	Professional	QZ	$218.48	$218.48	$218.48
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $459.00 / $459.00 / $660.00	Professional	QZ	$459.00	$459.00	$660.00
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $410.55 / $410.55 / $759.00	Professional	QZ	$410.55	$410.55	$759.00