Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $218.78 / $363.08 / $371.54	Professional	QZ	$218.78	$363.08	$371.54
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $104.71 / $104.71 / $104.71	Professional	QZ	$104.71	$104.71	$104.71
Aultcare Facility/Professional Professional Modifier QZ Low / Median / High Price $204.17 / $275.42 / $309.03	Professional	QZ	$204.17	$275.42	$309.03