Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $602.56 / $912.01 / $1,380.38	Professional	QZ	$602.56	$912.01	$1,380.38
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $257.04 / $263.03 / $426.58	Professional	QZ	$257.04	$263.03	$426.58
Aultcare Facility/Professional Professional Modifier QZ Low / Median / High Price $457.09 / $602.56 / $891.25	Professional	QZ	$457.09	$602.56	$891.25