Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,174.90 / $2,137.96 / $2,884.03	Professional	AA	$1,174.90	$2,137.96	$2,884.03
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $977.24 / $1,905.46 / $1,905.46	Professional	QZ	$977.24	$1,905.46	$1,905.46
Ambetter Facility/Professional Professional Modifier AA Low / Median / High Price $346.74 / $467.74 / $588.84	Professional	AA	$346.74	$467.74	$588.84
Ambetter Facility/Professional Professional Modifier QZ Low / Median / High Price $346.74 / $346.74 / $346.74	Professional	QZ	$346.74	$346.74	$346.74
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $575.44 / $602.56 / $602.56	Professional	QZ	$575.44	$602.56	$602.56
Health Alliance Plan Facility/Professional Professional Modifier AA Low / Median / High Price $1,174.90 / $2,041.74 / $2,884.03	Professional	AA	$1,174.90	$2,041.74	$2,884.03
Health Alliance Plan Facility/Professional Professional Modifier QZ Low / Median / High Price $977.24 / $977.24 / $1,905.46	Professional	QZ	$977.24	$977.24	$1,905.46