Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility	QZ	$1,659.59	$1,659.59	$1,659.59
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $676.08 / $1,348.96 / $2,137.96	Professional	AA	$676.08	$1,348.96	$2,137.96
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $316.23 / $912.01 / $1,737.80	Professional	QZ	$316.23	$912.01	$1,737.80
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $245.47 / $645.65 / $1,412.54	Professional	AA	$245.47	$645.65	$1,412.54
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $154.88 / $489.78 / $794.33	Professional	QZ	$154.88	$489.78	$794.33