Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $363.08 / $660.69 / $1,202.26	Professional	AA	$363.08	$660.69	$1,202.26
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $141.25 / $416.87 / $707.95	Professional	QZ	$141.25	$416.87	$707.95
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $117.49 / $218.78 / $831.76	Professional	AA	$117.49	$218.78	$831.76
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $138.04 / $309.03 / $660.69	Professional	QZ	$138.04	$309.03	$660.69
Qualchoice Facility/Professional Professional Modifier AA Low / Median / High Price $467.74 / $645.65 / $954.99	Professional	AA	$467.74	$645.65	$954.99
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $295.12 / $524.81 / $1,000.00	Professional	QZ	$295.12	$524.81	$1,000.00