Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $389.05 / $741.31 / $1,000.00	Professional	AA	$389.05	$741.31	$1,000.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $489.78 / $660.69 / $691.83	Professional	QZ	$489.78	$660.69	$691.83
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $138.04 / $177.83 / $323.59	Professional	AA	$138.04	$177.83	$323.59
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $141.25 / $194.98 / $457.09	Professional	QZ	$141.25	$194.98	$457.09