Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $442.00 / $3,106.75 / $3,106.75	Professional	QZ	$442.00	$3,106.75	$3,106.75
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $306.00 / $515.10 / $1,390.77	Professional	AA	$306.00	$515.10	$1,390.77
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $309.06 / $663.00 / $1,026.00	Professional	QZ	$309.06	$663.00	$1,026.00
Qualchoice Facility/Professional Professional Modifier AA Low / Median / High Price $351.90 / $351.90 / $592.37	Professional	AA	$351.90	$351.90	$592.37
Qualchoice Facility/Professional Professional Modifier QZ Low / Median / High Price $355.42 / $762.45 / $2,438.46	Professional	QZ	$355.42	$762.45	$2,438.46