Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $660.69 / $1,047.13 / $2,290.87	Professional	AA	$660.69	$1,047.13	$2,290.87
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $407.38 / $851.14 / $1,412.54	Professional	QZ	$407.38	$851.14	$1,412.54
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $154.88 / $181.97 / $537.03	Professional	AA	$154.88	$181.97	$537.03
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $181.97 / $245.47 / $295.12	Professional	QZ	$181.97	$245.47	$295.12
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $363.08 / $407.38 / $407.38	Professional	QZ	$363.08	$407.38	$407.38
Health Alliance Plan Facility/Professional Professional Modifier AA Low / Median / High Price $645.65 / $1,000.00 / $2,238.72	Professional	AA	$645.65	$1,000.00	$2,238.72
Health Alliance Plan Facility/Professional Professional Modifier QZ Low / Median / High Price $398.11 / $831.76 / $1,412.54	Professional	QZ	$398.11	$831.76	$1,412.54