Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $524.81 / $977.24 / $1,819.70	Professional	AA	$524.81	$977.24	$1,819.70
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $275.42 / $602.56 / $912.01	Professional	QZ	$275.42	$602.56	$912.01
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $141.25 / $181.97 / $309.03	Professional	AA	$141.25	$181.97	$309.03
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $77.62 / $144.54 / $331.13	Professional	QZ	$77.62	$144.54	$331.13
Aultcare Facility/Professional Professional Modifier AA Low / Median / High Price $257.04 / $275.42 / $1,096.48	Professional	AA	$257.04	$275.42	$1,096.48
Aultcare Facility/Professional Professional Modifier QZ Low / Median / High Price $281.84 / $436.52 / $676.08	Professional	QZ	$281.84	$436.52	$676.08