Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $501.19 / $794.33 / $1,230.27	Professional	AA	$501.19	$794.33	$1,230.27
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $389.05 / $501.19 / $724.44	Professional	QZ	$389.05	$501.19	$724.44
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $158.49 / $194.98 / $512.86	Professional	AA	$158.49	$194.98	$512.86
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $208.93 / $457.09 / $812.83	Professional	QZ	$208.93	$457.09	$812.83
Qualchoice Facility/Professional Professional Modifier AA Low / Median / High Price $407.38 / $524.81 / $645.65	Professional	AA	$407.38	$524.81	$645.65
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $512.86 / $645.65 / $933.25	Professional	QZ	$512.86	$645.65	$933.25