Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $707.95 / $1,202.26 / $3,090.30	Professional	AA	$707.95	$1,202.26	$3,090.30
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $389.05 / $1,000.00 / $1,258.93	Professional	QZ	$389.05	$1,000.00	$1,258.93
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $173.78 / $229.09 / $269.15	Professional	AA	$173.78	$229.09	$269.15
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $154.88 / $162.18 / $363.08	Professional	QZ	$154.88	$162.18	$363.08
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $288.40 / $338.84 / $338.84	Professional	QZ	$288.40	$338.84	$338.84
Health Alliance Plan Facility/Professional Professional Modifier AA Low / Median / High Price $758.58 / $1,230.27 / $3,090.30	Professional	AA	$758.58	$1,230.27	$3,090.30
Health Alliance Plan Facility/Professional Professional Modifier QZ Low / Median / High Price $389.05 / $1,000.00 / $1,258.93	Professional	QZ	$389.05	$1,000.00	$1,258.93