Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,400.00 / $1,680.00 / $2,100.00	Professional	AA	$1,400.00	$1,680.00	$2,100.00
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $590.40 / $590.40 / $590.40	Professional	QZ	$590.40	$590.40	$590.40
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $197.80 / $197.80 / $197.80	Professional	AA	$197.80	$197.80	$197.80
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $157.04 / $257.14 / $459.00	Professional	QZ	$157.04	$257.14	$459.00
BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $175.00 / $292.50 / $425.90	Professional	AA	$175.00	$292.50	$425.90
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $140.00 / $200.00 / $302.50	Professional	QZ	$140.00	$200.00	$302.50