Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $564.40 / $703.10 / $1,293.59	Professional	AA	$564.40	$703.10	$1,293.59
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $212.70 / $212.70 / $216.10	Professional	AA	$212.70	$212.70	$216.10
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $257.27 / $303.75 / $303.75	Professional	QZ	$257.27	$303.75	$303.75
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $147.91 / $338.39 / $384.20	Professional	QZ	$147.91	$338.39	$384.20
Health Alliance Plan Facility/Professional Professional Modifier AA Low / Median / High Price $564.40 / $1,044.68 / $1,293.59	Professional	AA	$564.40	$1,044.68	$1,293.59
United Facility/Professional Professional Modifier AA Low / Median / High Price $88.00 / $88.00 / $903.50	Professional	AA	$88.00	$88.00	$903.50