Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $489.78 / $912.01 / $1,258.93	Professional	AA	$489.78	$912.01	$1,258.93
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $316.23 / $741.31 / $1,202.26	Professional	QZ	$316.23	$741.31	$1,202.26
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $177.83 / $218.78 / $870.96	Professional	AA	$177.83	$218.78	$870.96
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $162.18 / $218.78 / $275.42	Professional	QZ	$162.18	$218.78	$275.42