Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,148.15 / $1,819.70 / $2,511.89	Professional	AA	$1,148.15	$1,819.70	$2,511.89
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $616.60 / $891.25 / $2,187.76	Professional	AA	$616.60	$891.25	$2,187.76
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $812.83 / $1,380.38 / $1,778.28	Professional	QZ	$812.83	$1,380.38	$1,778.28
Qualchoice Facility/Professional Professional Modifier AA Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional	AA	$2,511.89	$2,511.89	$2,511.89
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $933.25 / $1,584.89 / $2,041.74	Professional	QZ	$933.25	$1,584.89	$2,041.74