Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $870.96 / $1,348.96 / $2,089.30	Professional	AA	$870.96	$1,348.96	$2,089.30
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $138.04 / $831.76 / $1,479.11	Professional	QZ	$138.04	$831.76	$1,479.11
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $257.04 / $263.03 / $281.84	Professional	AA	$257.04	$263.03	$281.84
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $199.53 / $239.88 / $263.03	Professional	QZ	$199.53	$239.88	$263.03
Aultcare Facility/Professional Professional Modifier QZ Low / Median / High Price $660.69 / $794.33 / $831.76	Professional	QZ	$660.69	$794.33	$831.76