Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $707.95 / $1,258.93 / $2,344.23	Professional	AA	$707.95	$1,258.93	$2,344.23
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $389.05 / $870.96 / $1,778.28	Professional	QZ	$389.05	$870.96	$1,778.28
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $162.18 / $302.00 / $371.54	Professional	AA	$162.18	$302.00	$371.54
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $204.17 / $257.04 / $512.86	Professional	QZ	$204.17	$257.04	$512.86
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 $691.83 / $1,230.27 / $2,290.87	Professional	AA	$691.83	$1,230.27	$2,290.87
Health Alliance Plan Facility/Professional Professional Modifier QZ Low / Median / High Price $398.11 / $831.76 / $1,778.28	Professional	QZ	$398.11	$831.76	$1,778.28