Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $676.08 / $676.08 / $676.08	Facility	QZ	$676.08	$676.08	$676.08
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $524.81 / $724.44 / $1,412.54	Professional	AA	$524.81	$724.44	$1,412.54
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $691.83 / $977.24 / $1,621.81	Professional	QZ	$691.83	$977.24	$1,621.81
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $602.56 / $602.56 / $602.56	Professional	AA	$602.56	$602.56	$602.56
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $158.49 / $162.18 / $173.78	Professional	QZ	$158.49	$162.18	$173.78