Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $831.76 / $933.25 / $1,174.90	Professional	AA	$831.76	$933.25	$1,174.90
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $691.83 / $691.83 / $691.83	Professional	QZ	$691.83	$691.83	$691.83
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $158.49 / $158.49 / $660.69	Professional	QZ	$158.49	$158.49	$660.69
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $758.58 / $758.58 / $758.58	Professional	QZ	$758.58	$758.58	$758.58