Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,605.35 / $1,605.35 / $1,605.35	Facility	QZ	$1,605.35	$1,605.35	$1,605.35
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $216.89 / $1,120.00 / $1,820.00	Professional	AA	$216.89	$1,120.00	$1,820.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $364.46 / $520.00 / $1,803.60	Professional	AA	$364.46	$520.00	$1,803.60
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $182.70 / $385.00 / $1,430.00	Professional	QZ	$182.70	$385.00	$1,430.00