Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $363.08 / $363.08 / $363.08	Facility	QZ	$363.08	$363.08	$363.08
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $467.74 / $758.58 / $1,698.24	Professional	AA	$467.74	$758.58	$1,698.24
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $537.03 / $588.84 / $831.76	Professional	QZ	$537.03	$588.84	$831.76
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $117.49 / $117.49 / $218.78	Professional	AA	$117.49	$117.49	$218.78
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $138.04 / $138.04 / $138.04	Professional	QZ	$138.04	$138.04	$138.04