Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $645.65 / $851.14 / $1,230.27	Professional	QZ	$645.65	$851.14	$1,230.27
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $162.18 / $204.17 / $512.86	Professional	QZ	$162.18	$204.17	$512.86