Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $616.60 / $1,047.13 / $1,621.81	Professional	AA	$616.60	$1,047.13	$1,621.81
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $190.55 / $645.65 / $1,174.90	Professional	QZ	$190.55	$645.65	$1,174.90
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $181.97 / $794.33 / $1,548.82	Professional	AA	$181.97	$794.33	$1,548.82
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $162.18 / $398.11 / $1,288.25	Professional	QZ	$162.18	$398.11	$1,288.25