Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $413.10 / $795.96 / $1,446.72	Professional	AA	$413.10	$795.96	$1,446.72
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $305.76 / $361.73 / $627.00	Professional	QZ	$305.76	$361.73	$627.00
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $182.25 / $258.43 / $528.00	Professional	AA	$182.25	$258.43	$528.00
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $158.32 / $283.50 / $405.00	Professional	QZ	$158.32	$283.50	$405.00
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $110.94 / $270.70 / $288.14	Professional	QZ	$110.94	$270.70	$288.14
Health Alliance Plan Facility/Professional Professional Modifier AA Low / Median / High Price $470.40 / $831.60 / $1,446.72	Professional	AA	$470.40	$831.60	$1,446.72
Health Alliance Plan Facility/Professional Professional Modifier QZ Low / Median / High Price $305.76 / $361.73 / $627.00	Professional	QZ	$305.76	$361.73	$627.00