Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $173.78 / $2,041.74 / $3,019.95	Professional	QZ	$173.78	$2,041.74	$3,019.95
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $181.97 / $263.03 / $489.78	Professional	QZ	$181.97	$263.03	$489.78
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $436.52 / $478.63 / $478.63	Professional	QZ	$436.52	$478.63	$478.63
Health Alliance Plan Facility/Professional Professional Modifier QZ Low / Median / High Price $173.78 / $1,318.26 / $2,630.27	Professional	QZ	$173.78	$1,318.26	$2,630.27