Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $912.01 / $1,047.13 / $2,344.23	Professional	AA	$912.01	$1,047.13	$2,344.23
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $239.88 / $645.65 / $1,148.15	Professional	QZ	$239.88	$645.65	$1,148.15
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $194.98 / $354.81 / $776.25	Professional	AA	$194.98	$354.81	$776.25
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $218.78 / $562.34 / $912.01	Professional	QZ	$218.78	$562.34	$912.01
Qualchoice Facility/Professional Professional Modifier AA Low / Median / High Price $588.84 / $588.84 / $891.25	Professional	AA	$588.84	$588.84	$891.25
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $537.03 / $758.58 / $1,230.27	Professional	QZ	$537.03	$758.58	$1,230.27