Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $691.83 / $1,148.15 / $2,754.23	Professional	AA	$691.83	$1,148.15	$2,754.23
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $173.78 / $630.96 / $954.99	Professional	QZ	$173.78	$630.96	$954.99
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $158.49 / $223.87 / $302.00	Professional	AA	$158.49	$223.87	$302.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $117.49 / $177.83 / $288.40	Professional	QZ	$117.49	$177.83	$288.40
Aultcare Facility/Professional Professional Modifier AA Low / Median / High Price $426.58 / $426.58 / $426.58	Professional	AA	$426.58	$426.58	$426.58