Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $177.83 / $758.58 / $1,819.70	Professional	AA	$177.83	$758.58	$1,819.70
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $478.63 / $478.63 / $676.08	Professional	QZ	$478.63	$478.63	$676.08
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $199.53 / $676.08 / $954.99	Professional	AA	$199.53	$676.08	$954.99
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $141.25 / $234.42 / $691.83	Professional	QZ	$141.25	$234.42	$691.83