Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $302.00 / $660.69 / $1,096.48	Professional	AA	$302.00	$660.69	$1,096.48
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $269.15 / $416.87 / $912.01	Professional	QZ	$269.15	$416.87	$912.01
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $117.49 / $177.83 / $478.63	Professional	AA	$117.49	$177.83	$478.63
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $120.23 / $208.93 / $524.81	Professional	QZ	$120.23	$208.93	$524.81